Organization Active NPI

Koryo Medical Center, a Professional Co.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1730191909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A33441 Issued in CA
Legal business name
KORYO MEDICAL CENTER, A PROFESSIONAL CO.
Practice address
2120 W 8TH St Ste 200
Los Angeles, CA 90057-4082
Phone
(213) 387-5400
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeko Behfarin, MD
Title
Director
Phone
(213) 387-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A33441 CA Primary

Addresses

Primary practice location

2120 W 8TH St Ste 200
Los Angeles, CA 90057-4082

Mailing address

2120 W 8TH St Ste 200
Los Angeles, CA 90057-4082
Phone (213) 387-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730191909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W 8TH ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574082",
            "telephone_number": "213-387-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W 8TH ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574082",
            "telephone_number": "213-387-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORYO MEDICAL CENTER, A PROFESSIONAL CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEHFARIN",
        "authorized_official_first_name": "JEKO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-387-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A33441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.