Southern Califronia Specialists, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTHERN CALIFRONIA SPECIALISTS, INC

Practice address

11190 Warner Ave
Suite 307
Fountain Valley, CA 92708-4019

Phone

(714) 545-6400

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Kim, M.D.

Title

President

Phone

(714) 506-8094

Specialties & licenses 1

Addresses

Other names 1

• Fountain Valley Pediatric Specialists, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1497942932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 307",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 307",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-545-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFRONIA SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-506-8094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Valley Pediatric Specialists, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• South Coast Children'S Society, Inc
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• South County Physicians Medical Group Inc.
• Southern California Center for Advanced Gynecology a Medical Corp
• Southern Heart Clinic, Inc.
• Briana Nicole Southern
• Southland Eye Care Associates Inc
• Southland Medical Group,LLC
• Southland Renal Medical Group, Inc

• Pediatrics Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.