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KOREATOWN SENIOR CENTER
NPI 1760042915
Clinic/Center - Adult Day Care in Los Angeles, CA

Active since June 19, 2019
3400 W OLYMPIC BLVD, LOS ANGELES, CA 90019(213) 604-1778(323) 334-4601 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 9, 2023, Aug 7, 2020, Jun 19, 2019 (3 updates tracked since 2019).

About Koreatown Senior Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOREATOWN SENIOR CENTER (NPI 1760042915) is a healthcare organization registered as an adult day care in Los Angeles, California and active in the NPI registry since June 2019. The organization lists Helen Boyoung Kim, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1760042915
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameKOREATOWN SENIOR CENTER LLC
Location Address3400 W OLYMPIC BLVDLos Angeles, CA 90019-2122
Mailing Address3400 W Olympic BlvdLos Angeles, CA 90019-2292 · (323) 334-4600 · Fax (323) 334-4601
Phone(213) 604-1778
Fax(323) 334-4601
Organization SubpartNo
Authorized OfficialHelen Boyoung KimAuthorized Official · (213) 604-1778
Enumeration DateJune 19, 2019
Last NPPES UpdateAugust 2, 20233 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1760042915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
3400 W OLYMPIC BLVD, Los Angeles, CA 90019
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Other Names 1

Doing Business AsKoreatown Senior Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2191117

Koreatown Senior Center · Los Angeles, CA
Expired · Aug 23, 2026
CLIA Number05D2191117
Laboratory TypeAdult Day Hlt Care
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorShin Wook Kang
Laboratory Phone(213) 804-6054
Laboratory LocationKoreatown Senior Center3400 West Olympic Blvd, Los Angeles, CA 90019
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koreatown Senior Center LLC's NPI number?

The NPI number for Koreatown Senior Center LLC is 1760042915. It was assigned to this organization in the NPPES registry on June 19, 2019. The provider is doing business as Koreatown Senior Center.

Where is Koreatown Senior Center LLC located?

Koreatown Senior Center LLC is located at 3400 W Olympic Blvd, Los Angeles, CA 90019. The listed phone number is (213) 604-1778.

What is Koreatown Senior Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Koreatown Senior Center LLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.