Kyu Hyun Kim MD INC
Pediatrics in Van Nuys, CA. Organization (NPI-2).
NPI number1114007754
StatusActive
Last updated in NPPESMar 10, 2016
Details
- NPI
- 1114007754
- Entity type
- Organization (NPI-2)
- Legal business name
- Kyu Hyun Kim MD INC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Mar 10, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
15243 Vanowen StSuite 300
Van Nuys, CA 91405-3605
Phone 818-786-4910 · Fax 818-786-5512
Mailing address
15243 Vanowen StSuite 300
Van Nuys, CA 91405-3605
Phone 818-786-4910 · Fax 818-786-5512
Authorized official
Kyu Hyun Kim
President
8187864910
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