Provider Demographics
NPI:1902177249
Name:KOREAN AMERICAN FAMILY SERVICES, INC. (KFAM)
Entity type:Organization
Organization Name:KOREAN AMERICAN FAMILY SERVICES, INC. (KFAM)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:YEOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-235-4845
Mailing Address - Street 1:3727 W 6TH ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-5105
Mailing Address - Country:US
Mailing Address - Phone:213-389-6755
Mailing Address - Fax:213-389-5172
Practice Address - Street 1:3727 W 6TH ST
Practice Address - Street 2:SUITE 320
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-5105
Practice Address - Country:US
Practice Address - Phone:213-389-6755
Practice Address - Fax:213-389-5172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2024-07-09
Deactivation Date:2024-03-12
Deactivation Code:
Reactivation Date:2024-07-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency