Healthcare Provider Details

I. General information

NPI: 1245452564
Provider Name (Legal Business Name): HANMAEUM SENIOR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 11/07/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W. OLYMPIC BLVD
LOS ANGELES CA
90006-3705
US

IV. Provider business mailing address

2001 W. OLYMPIC BLVD
LOS ANGELES CA
90006-3705
US

V. Phone/Fax

Practice location:
  • Phone: 213-736-0001
  • Fax: 213-736-6581
Mailing address:
  • Phone: 213-736-0001
  • Fax: 213-736-6581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000639
License Number StateCA

VIII. Authorized Official

Name: MR. JINWOO KIM
Title or Position: CEO
Credential:
Phone: 213-731-0001