Dr Kwang Ha, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. He graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Los Angeles County Department Of Mental Health and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 1720 E 120th St, Los Angeles, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kwang Ha graduated from medical school in 2014
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 |
|---|
| 101YP1600X | Counselor - Pastoral | BCPC 0593 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 024368 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33013 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Los Angeles County Department Of Mental Health | 7416869896 | 242 |
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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