Organization Active NPI

Koreatown Senior Center LLC

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1760042915
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KOREATOWN SENIOR CENTER LLC
Practice address
3400 W Olympic Blvd
Los Angeles, CA 90019-2122
Phone
(213) 604-1778
Fax
(323) 334-4601
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Helen Boyoung Kim
Title
Authorized Official
Phone
(213) 604-1778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

3400 W Olympic Blvd
Los Angeles, CA 90019-2122

Mailing address

3400 W Olympic Blvd
Los Angeles, CA 90019-2292
Phone (323) 334-4600

Other names 1

  • Koreatown Senior Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2191117Koreatown Senior Center3400 West Olympic Blvd, Los Angeles, CA 90019Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Locations

3400 W Olympic Blvd
Los Angeles, CA 90019
Phone (213) 604-1778

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1760042915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192292",
            "telephone_number": "323-334-4600",
            "fax_number": "323-334-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192122",
            "telephone_number": "213-604-1778",
            "fax_number": "323-334-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREATOWN SENIOR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "BOYOUNG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "213-604-1778"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koreatown Senior Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koreatown Senior Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.