Active NPI
Koreatown Senior Center LLC
- Adult Day Care Clinic/Center
- Los Angeles, CA
National Provider Identifier
1760042915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2191117 | Koreatown Senior Center | Certificate of waiver | Aug 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
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
- Korean Health, Education, Information and Research Center
- Korean Health, Education, Information and Research Center
- Korean Health, Education, Information and Research Center
- Korean Town Home Care Inc
- Koreatown Community Based Adult Services, Inc.
- Koreatown Urgent Care Center
- Koreatown Youth & Community Center, Inc.
- Koreatown Youth and Community Center, Inc.
- Jonathan Joseph Korel
- Julie Korenberg, M.D.
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.