Staecy Y Kim, MD
Pediatrics, Neonatal-Perinatal Medicine in Tarzana, CA. Individual provider (NPI-1).
Details
- NPI
- 1578060976
- Entity type
- Individual (NPI-1)
- Name
- Staecy Y Kim
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2018
- Certification date
- Dec 19, 2024
- Last updated
- Dec 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- 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 |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | A173674 | CA | Yes |
Practice location
18321 Clark StTarzana, CA 91356-3501
Phone 818-708-5570 · Fax 818-708-5471
Mailing address
4140 W 190th StTorrance, CA 90504-5513
Other practice locations
Los Angeles, CA 90027-6062
Phone 888-631-2452
West Hollywood, CA 90048-1804
Phone 310-423-4451 · Fax 310-423-2114
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Neonatal-Perinatal Medicine Physician providers in Tarzana, CA
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- Maria Roxanne Aileen Ventenilla Arcinue, MDNPI 1174787931
- James Louis Banks, MDNPI 1245293232
- Scott A Beasley, M.D.NPI 1710055272
- Hyo-Jung Choi, MBBSNPI 1770080343
- Richard Anthony Jack, M.D.NPI 1306289129
- Jennifer Levy, MDNPI 1063712594
- Sataporn Muang-In, MDNPI 1942408414
- Annie Thuy An Nguyen, M.D.NPI 1902096977
- Jeanne Wendy Ruderman, M.D.NPI 1407804289
All 14 Neonatal-Perinatal Medicine Physician providers in Tarzana · All 3,038 providers in Tarzana
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