| Koryo Health Foundation | |
|
1058 S Vermont Ave Los Angeles CA 90006-2721 | |
| (213) 380-8833 | |
| (213) 368-6047 |
| Full Name | Koryo Health Foundation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1058 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Maribel Cervantes (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 2133808833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koryo Health Foundation 1058 S Vermont Ave Los Angeles CA 90006-2721 Ph: (213) 380-8833 | Koryo Health Foundation 1058 S Vermont Ave Los Angeles CA 90006-2721 Ph: (213) 380-8833 |
| NPI Number | 1093985418 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093985418 | NPI | - | NPPES |
| EAP70381F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (California) | Primary |
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