# KWANG HE WON HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699232454
- **Authorized official:** BONGJA BENA WON MD (CEO/PRESIDENT)
- **Authorized official phone:** (213) 385-0448

## Contact information

- **Practice address:** 815 S. ARDMORE AVE 1ST FLOOR, LOS ANGELES, CA 90005-2597
- **Practice address phone:** (213) 385-0448
- **Practice address fax:** (213) 260-8268
- **Mailing address:** 815 S. ARDMORE AVE 1ST FLOOR, LOS ANGELES, CA 90005-2597
- **Mailing address phone:** (213) 385-0448
- **Mailing address fax:** (213) 260-8268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2019
- **Last updated:** 03/02/2022