MEDICARE: HANMAEUM SENIOR SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	060000639	CA

General Provider Information

NPI Number	:	1245452564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANMAEUM SENIOR SERVICES, INC.

Provider Business Mailing Address
First Line	:	2001 W. OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-3705
Country	:	US
Telephone Number	:	213-736-0001
Fax Number	:	213-736-6581

Provider Business Practice Location Address
First Line	:	2001 W. OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-3705
Country	:	US
Telephone Number	:	213-736-0001
Fax Number	:	213-736-6581

Authorized Official
Title or Position	:	CEO
Name	:	MR. JINWOO KIM
Credential	:
Telephone Number	:	213-731-0001

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	11/07/2024

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