Organization
KORYO HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL CERVANTES (ASSISTANT ADMINISTRATOR)
(213) 380-8833
Entity
Organization
Contact information
Practice address
1058 S VERMONT AVE, LOS ANGELES, CA 90006-2721
(213) 380-8833
(213) 368-6047
Mailing address
1058 S VERMONT AVE, LOS ANGELES, CA 90006-2721
(213) 380-8833
(213) 368-6047
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EAP70381F
—
CA
Enumeration date
03/03/2008
Last updated
03/03/2008
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