Dr Kwang Ha, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. His current practice location is
1720 E 120th St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 298-3680.
Dr Kwang Ha is licensed to practice in California (license number 33013) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891059796.
Healthcare Provider's Profile
| Full Name | Dr Kwang Ha |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1720 E 120th St, Los Angeles, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891059796
- Provider Enumeration Date: 06/26/2012
- Last Update Date: 08/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779968169
- Enrollment ID: I20220921002432
Medical Identifiers
Medical identifiers for Dr Kwang Ha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891059796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP1600X | Counselor - Pastoral | BCPC 0593 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 024368 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33013 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kwang Ha allows following entities to bill medicare on his behalf.
| Entity Name | Los Angeles County Department Of Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083633929
PECOS PAC ID: 7416869896
Enrollment ID: O20031104000319 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kwang Ha is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kwang Ha, PHD
19141 Golden Valley Rd # 1023,
Santa Clarita, CA 91387-1428
Ph: (213) 543-2884 | Dr Kwang Ha, PHD
1720 E 120th St,
Los Angeles, CA 90059-3052
Ph: (323) 298-3680 |
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