Healthcare Provider Details

I. General information

NPI: 1437377454
Provider Name (Legal Business Name): KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3727 W 6TH ST STE 200
LOS ANGELES CA
90020-5108
US

IV. Provider business mailing address

3727 W 6TH ST STE 200
LOS ANGELES CA
90020-5108
US

V. Phone/Fax

Practice location:
  • Phone: 213-235-2500
  • Fax: 213-251-8647
Mailing address:
  • Phone: 213-235-2500
  • Fax: 213-251-8647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number960001098
License Number StateCA

VIII. Authorized Official

Name: ERIN PAK
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 213-427-4000