Active NPI
Korus Medical Center, Inc.
- General Practice Physician
- La Palma, CA
National Provider Identifier
1821480377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- KORUS MEDICAL CENTER, INC.
- Practice address
- 26 Centerpointe Dr.
115
La Palma, CA 90623-2567 - Phone
- (714) 670-0007
- Fax
- (714) 670-0005
- NPI assigned
- Feb 20, 2015
- 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
- Dr. Joon Ho Lee, M.D.
- Title
- President
- Phone
- (714) 670-0007
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CA | ||
| Surgery Physician | 208600000X | CA | ||
| General Practice Physician | 208D00000X | CA | Primary | |
| Physical Therapist | 225100000X | CA | ||
| Occupational Therapist | 225X00000X | CA |
Addresses
Primary practice location
26 Centerpointe Dr.
115
La Palma, CA 90623-2567
Mailing address
26 Centerpointe Dr.
115
La Palma, CA 90623-2567
Phone (714) 670-0007
Other names 1
- N/A
National Provider Directory
National Provider DirectoryLocations
7700 Orangethorpe Ave
Ste 3
Buena Park, CA 90621
Phone (303) 519-8022
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Buena Park, CA
- NPI 1902125669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466726400000",
"number": "1821480377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CENTERPOINTE DR.",
"address_2": "115",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906232567",
"telephone_number": "714-670-0007",
"fax_number": "714-670-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 CENTERPOINTE DR.",
"address_2": "115",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906232567",
"telephone_number": "714-670-0007",
"fax_number": "714-670-0005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORUS MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-20",
"last_updated": "2016-06-24",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JOON",
"authorized_official_middle_name": "HO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-670-0007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "N/A",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.