Kyu Hyun Kim MD Inc
NPI 1114007754ActiveOrganization· Pediatrics· Van Nuys, CA
Pediatrics in Van Nuys, California, registered in NPPES in October 2006. The authorized official on file is Kyu Hyun Kim, M D, President. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1114007754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | Mar 10, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (CA) |
|---|
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