Organization Active NPI

Kwang He Won Health Center

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1417828823
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KWANG HE WON HEALTH CENTER
Practice address
2423 N Broadway
Los Angeles, CA 90031-2218
Phone
(213) 376-3762
NPI assigned
Sep 17, 2025
Organization subpart
Yes
Parent organization
KWANG HE WON HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bongja Bena Won
Title
Ceo
Phone
(213) 385-0448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2423 N Broadway
Los Angeles, CA 90031-2218

Mailing address

815 S Ardmore Ave FL 1
Los Angeles, CA 90005-2597
Phone (213) 385-0448

National Provider Directory

National Provider Directory
Part of
Kwang He Won Health Center

Locations

2423 N Broadway
Los Angeles, CA 90031
Phone (213) 376-3762

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1417828823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S ARDMORE AVE FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052597",
            "telephone_number": "213-385-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "213-376-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWANG HE WON HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KWANG HE WON HEALTH CENTER",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "BONGJA",
        "authorized_official_middle_name": "BENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-385-0448"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.