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KWANG HE WON HEALTH CENTER
NPI 1699232454
Clinic/Center - Community Health in Los Angeles, CA

Active since February 27, 2019
815 S. ARDMORE AVE 1ST FLOOR, LOS ANGELES, CA 90005(213) 385-0448(213) 260-8268 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2022, Feb 27, 2019 (2 updates tracked since 2019).

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 1699232454) is a healthcare organization registered as a community health in Los Angeles, California and active in the NPI registry since February 2019. The organization lists Bongja Bena Won, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1699232454
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameKWANG HE WON HEALTH CENTER
Location Address815 S. ARDMORE AVE 1ST FLOORLos Angeles, CA 90005-2597
Mailing Address815 S. Ardmore Ave 1st FloorLos Angeles, CA 90005-2597 · (213) 385-0448 · Fax (213) 260-8268
Phone(213) 385-0448
Fax(213) 260-8268
Organization SubpartNo
Authorized OfficialBongja Bena WonCeo/president · (213) 385-0448
Enumeration DateFebruary 27, 2019
Last NPPES UpdateMarch 2, 20222 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1699232454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedGeneral PracticeTaxonomy 208D00000X
815 S. ARDMORE AVE 1ST FLOOR, Los Angeles, CA 90005
Open in Google Maps ↗

Other Identifiers 1

OtherA32086CA · Ca Medical Board

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kwang He Won Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Kwang He Won Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Richard Bardowell, M.D.
General Practice
NPI 1790796753
815 S ARDMORE AVE FL 1
Los Angeles, CA 90005
(818) 209-7575
✔ PECOSSame address
Jae Lee, M.D.
Family Practice
NPI 1639265143
3780 WILSHIRE BLVD 6TH FL
Los Angeles, CA 90010
(213) 739-1416
✔ PECOS0.5 mi
Ji Lee
Nurse Practitioner
NPI 1912435553
501 S OXFORD AVE APT 17
Los Angeles, CA 90020
(213) 505-7667
✔ PECOS0.6 mi
Daesoon Leem, MD
Family Practice
NPI 1902289226
866 S WESTMORELAND AVE STE 101
Los Angeles, CA 90005
(800) 821-5675
✔ PECOS✔ Accepts Medicare0.8 mi
Young Suh, M.D.
Anesthesiology
NPI 1396708251
201 S ALVARADO ST STE 718
Los Angeles, CA 90057
(213) 483-0150
✔ PECOS✔ Accepts Medicare1.8 mi
Leslie Langley, DNP-BC
Nurse Practitioner
NPI 1255779120
4789 VINELAND AVE STE 101
North Hollywood, CA 91602
(323) 568-1654
✔ PECOS✔ Accepts Medicare7.9 mi
Helena Park, NP
Nurse Practitioner
NPI 1093061970
2071 COMPTON AVE #104
Corona, CA 92881
(951) 279-4900
✔ PECOS✔ Accepts Medicare46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1699232454. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Kwang He Won Health Center located?

Kwang He Won Health Center is located at 815 S. Ardmore Ave 1st Floor, Los Angeles, CA 90005. The listed phone number is (213) 385-0448.

What is Kwang He Won Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Kwang He Won Health Center enrolled in Medicare?

Yes. Kwang He Won Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kwang He Won Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Kwang He Won Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Anesthesiology (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kwang He Won Health Center was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.