Nam Kyu Kim

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7141 Woodley Ave
Van Nuys, CA 91406-3932

Phone

(818) 218-5825

Fax

(818) 273-1831

NPI assigned

Sep 15, 2025

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ican-B

  • Community/Behavioral Health Agency
  • Van Nuys, CA
  • NPI 1669865648
  NPD

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1386515195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 ATLANTA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072442",
            "telephone_number": "818-285-8252",
            "fax_number": "818-273-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 WOODLEY AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063932",
            "telephone_number": "818-218-5825",
            "fax_number": "818-273-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NAM",
        "middle_name": "KYU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwan Kim, MD
• Kyu Hyun Kim, MD
• Lisa Lee Kim
• Mee Sook Kim, M.D.
• Melissa Sunhwi Kim, PHARM.D.
• Olivia Eunkyung Kim
• Paul Young Kim
• Ronald C Kim, DDS
• Rosemary Y Kim
• Sabrina Kim

• Behavior Technician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.