William Kyu Kim, MD
Urology in Long Beach, CA. Individual provider (NPI-1).
NPI number1205102787
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1205102787
- Entity type
- Individual (NPI-1)
- Name
- William Kyu Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2012
- Last updated
- Dec 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - UROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 208800000X | Urology | A128187 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5901 E 7th StLong Beach, CA 90822-5201
Phone 925-330-1910
Mailing address
22 Ensueno EIrvine, CA 92620-1844
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