KORYO HEALTH FOUNDATION COMMUNITY CLINIC
NPI 1952460156
Clinic/Center - Primary Care in Los Angeles, CA

Active since December 06, 2006
2655 W OLYMPIC BLVD STE 101, LOS ANGELES, CA 90006(213) 380-8833 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Koryo Health Foundation Community Clinic NPPES

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

KORYO HEALTH FOUNDATION COMMUNITY CLINIC (NPI 1952460156) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since December 2006. The organization lists Moon Ju Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952460156
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKORYO HEALTH FOUNDATION
Location Address2655 W OLYMPIC BLVD STE 101Los Angeles, CA 90006-2800
Mailing Address2655 W Olympic Blvd Ste 101Los Angeles, CA 90006-2800 · (213) 380-8833
Organization SubpartNo
Authorized OfficialMoon Ju KimCeo · (213) 675-4909
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
NPI 1952460156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · 960000265
Also ListedGeneral PracticeTaxonomy 208D00000X · License 960000265 (CA)
2655 W OLYMPIC BLVD STE 101, Los Angeles, CA 90006

Other Names 1

Other NameKoryo Health Foundation Community Clinic

Other Identifiers 6

MedicaidHAP70381FCA
MedicaidEAP70381FCA
MedicaidCMM70381FCA
Medicaid1306871413CA
Medicaid1760408470CA
OtherW11952CA · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2655 W OLYMPIC BLVD STE 101
LOS ANGELES, CA 90006
Clinic/Center (Family Planning, Non-Surgical)
2655 W OLYMPIC BLVD STE 101
LOS ANGELES, CA 90006

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 Koryo Health Foundation's NPI number?

The NPI number for Koryo Health Foundation is 1952460156. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is also known as Koryo Health Foundation Community Clinic.

Where is Koryo Health Foundation located?

Koryo Health Foundation is located at 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006. The listed phone number is (213) 380-8833.

What is Koryo Health Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Koryo Health Foundation was last updated on February 14, 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.