KWANG HE WON HEALTH CENTER NPI 1699232454

NPI Information

KWANG HE WON HEALTH CENTER is a community health clinic center in Los Angeles, CA. KWANG HE WON HEALTH CENTER NPI is 1699232454. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

815 S. ARDMORE AVE 1ST FLOOR
LOS ANGELES, CA
ZIP 90005-597
Phone: (213) 385-0448
Fax: (213) 260-8268

The provider's authorized official is Bongja Bena Won .
The authorized official title is Ceo/president and has the following contact phone number (213) 385-0448.

The CLIA number assigned to this NPI record is 05D2174718 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2019 and was last updated on 3/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.