DR. KWANG HA PH.D.
NPI 1891059796
Psychologist - Clinical in Los Angeles, CA

Q: What is Kwang Ha's NPI number?

The NPI number for Kwang Ha is 1891059796. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Kwang Ha's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kwang Ha was last updated on August 3, 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.

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment

1720 E 120TH ST, LOS ANGELES, CA 90059(323) 298-3680 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2022, Jul 30, 2022, Dec 13, 2021 and 2 more (5 updates tracked since 2017).

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About Dr. Kwang Ha Ph.d. NPPES

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

DR. KWANG HA PH.D. (NPI 1891059796) is an individual clinical provider in Los Angeles, California, licensed in California (33013) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Clarita, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891059796

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KWANG HACredential: PH.D.

Location Address1720 E 120TH STLos Angeles, CA 90059-3052

Mailing Address19141 Golden Valley Rd # 1023Santa Clarita, CA 91387-1428 · (213) 543-2884

Phone(323) 298-3680

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 26, 2012

Last NPPES UpdateAugust 3, 20225 updates tracked since enumeration

NPPES CertifiedAugust 3, 2022

✔ NPI 1891059796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · 33013✔ Licensed in NY · 024368

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · PastoralTaxonomy 101YP1600X · License BCPC 0593 (VA)

1720 E 120TH ST, Los Angeles, CA 90059

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Secondary Practice Location 1

Location 119141 Golden Valley Rd # 1023Santa Clarita, CA 91387-1428 · Phone (213) 543-2884

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kwang Ha Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779968169

PECOS Enrollment IDI20220921002432

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LUCY S VILLEGAS

Social Worker (Clinical)