Provider Demographics
NPI:1902568330
Name:KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH CENTER
Entity Type:Organization
Organization Name:KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE DEVELOPMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHADMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-235-1212
Mailing Address - Street 1:3727 W 6TH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-5108
Mailing Address - Country:US
Mailing Address - Phone:213-235-2500
Mailing Address - Fax:213-427-4008
Practice Address - Street 1:3255 WILSHIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1405
Practice Address - Country:US
Practice Address - Phone:213-235-2500
Practice Address - Fax:213-355-8714
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care