1467878835 NPI number — KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER

Table of content: (NPI 1467878835)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467878835 NPI number — KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
KHEIR CENTER
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467878835
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3727 W 6TH ST STE 210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90020-5108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-427-4000
Provider Business Mailing Address Fax Number:
213-637-1075

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3727 W 6TH ST STE 230
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90020-5108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-427-4000
Provider Business Practice Location Address Fax Number:
213-637-1075
Provider Enumeration Date:
03/10/2014

Additional Information

Authorized Official

Authorized Official Last Name:
PAK
Authorized Official First Name:
ERIN
Authorized Official Middle Name:
K
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
213-427-4000

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  960001098 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: FHC70813F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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