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KWANG HE WON HEALTH CENTER
NPI 1417828823
General Practice in Los Angeles, CA

Active since September 17, 2025CLIA 05D2174718 · Waiver
2423 N BROADWAY, LOS ANGELES, CA 90031(213) 376-3762 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kwang He Won Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KWANG HE WON HEALTH CENTER (NPI 1417828823) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Bongja Bena Won, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417828823
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKWANG HE WON HEALTH CENTER
Location Address2423 N BROADWAYLos Angeles, CA 90031-2218
Mailing Address815 S Ardmore Ave Fl 1Los Angeles, CA 90005-2597 · (213) 385-0448
Phone(213) 376-3762
Organization SubpartYes
Authorized OfficialBongja Bena WonCeo · (213) 385-0448
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1417828823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2423 N BROADWAY, Los Angeles, CA 90031
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2174718

Kwang He Won Health Center · Los Angeles, CA
Active · expires Nov 5, 2027
CLIA Number05D2174718
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorRichard J. Bardowell
Laboratory Phone(213) 385-0448
Laboratory LocationKwang He Won Health Center815 S Ardmore Ave 1st Floor, Los Angeles, CA 90005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVIOR PHYSICIANS NETWORK IPA INC
Family Medicine
2423 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 376-3762
DR. HANY S MALEK DC
Chiropractor
2423 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 376-3762
CHRISTO CARDIOLOGY & VASCULAR MEDICINE INC
Internal Medicine (Cardiovascular Disease)
2423 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 376-3762
PRIORITY FAMILY CARE CENTER APC
Internal Medicine (Cardiovascular Disease)
2423 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 376-3762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kwang He Won Health Center's NPI number?

The NPI number for Kwang He Won Health Center is 1417828823. It was assigned to this organization in the NPPES registry on September 17, 2025.

Where is Kwang He Won Health Center located?

Kwang He Won Health Center is located at 2423 N Broadway, Los Angeles, CA 90031. The listed phone number is (213) 376-3762.

What is Kwang He Won Health Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Kwang He Won Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2174718) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kwang He Won Health Center was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.