KOREATOWN SENIOR CENTER
NPI 1760042915
Clinic/Center - Adult Day Care in Los Angeles, CA
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 05D2191117
- CLIA Cert. Type: Other - ADULT DAY HLT CARE
- CLIA Exp. Date: 08-23-2026
About KOREATOWN SENIOR CENTER
This page provides the complete NPI Profile along with additional information for Koreatown Senior Center, a provider established in Los Angeles, California operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1760042915 assigned on June 2019. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Koreatown Senior Center. The authorized official of this NPI record is Helen Boyoung Kim (Authorized Official)
- NPI
- 1760042915 Verify this NPI
- Provider Legal Name
- KOREATOWN SENIOR CENTER LLC
- Other Organization Name
- KOREATOWN SENIOR CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3400 W OLYMPIC BLVD LOS ANGELES, CA 90019
- Location Phone
- (213) 604-1778
- Location Fax
- (323) 334-4601
- Mailing Address
- 3400 W OLYMPIC BLVD LOS ANGELES, CA 90019
- Mailing Phone
- (323) 334-4600
- Mailing Fax
- (323) 334-4601
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2019
- Last Update Date
- 08-02-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2191117
- Facility Type
- Other - ADULT DAY HLT CARE
- Certificate Effective Date
- August 24, 2024
- Certificate Expiration Date
- August 23, 2026
- Laboratory Director
- SHIN WOOK KANG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Koreatown Senior Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760042915, enumerated as an "organization" on June 19, 2019.
The provider is located at 3400 W OLYMPIC BLVD LOS ANGELES, CA 90019 and the phone number is (213) 604-1778.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
