Kyu Hyun Kim MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KYU HYUN KIM MD INC

Practice address

15243 Vanowen St
Suite 300
Van Nuys, CA 91405-3605

Phone

(818) 786-4910

Fax

(818) 786-5512

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyu Hyun Kim, M DNPI 1013001379

Title

President

Phone

(818) 786-4910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyu Hyun Kim, MD

  • Pediatrics Physician
  • Van Nuys, CA
  • NPI 1013001379
  NPD Authorized official
• Firmo Delacuesta Garcia, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Van Nuys, CA
  • NPI 1255423141
  NPD (past)
• Eun Kyung Hwang, M.D.

  • Pediatrics Physician
  • Van Nuys, CA
  • NPI 1306938998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1114007754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053605",
            "telephone_number": "818-786-4910",
            "fax_number": "818-786-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053605",
            "telephone_number": "818-786-4910",
            "fax_number": "818-786-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYU HYUN KIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYU",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-786-4910",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kwon
• Keumboon Katherine Kwon, MFT
• Cory Andrew Kwong, MD
• Kayden Ky-Yeith
• Kyffin Pharmacy Inc
• Elizabeth Kyurkchyan, DDS
• L & R Home Health, Inc
• L Chaim Home Health Care
• L. Iri Kupferwasser MD a Medical Corporation
• L.a. Urologiy, Inc.

• Pediatrics Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.