Healthcare Provider Details

I. General information

NPI: 1780504290
Provider Name (Legal Business Name): KOREAN COMMUNITY SERVICES OF ORANGE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 WEST LINCOLN AVENUE SUITE 100
ANAHEIM CA
92805-2912
US

IV. Provider business mailing address

451 WEST LINCOLN AVENUE SUITE 100
ANAHEIM CA
92805-2912
US

V. Phone/Fax

Practice location:
  • Phone: 714-503-6550
  • Fax: 714-409-3075
Mailing address:
  • Phone: 714-503-6550
  • Fax: 714-409-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ELLEN AHN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 714-503-6550