KYU HYUN KIM MD
NPI 1013001379
Pediatrics in Van Nuys, CA

Active since October 03, 2006CLIA 05D0683395 · Waiver
15243 VANOWEN ST, SUITE 300, VAN NUYS, CA 91405(818) 786-4910(818) 786-5512 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 2016, Feb 18, 2016 (2 updates tracked since 2016).

About Kyu Hyun Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYU HYUN KIM MD (NPI 1013001379) is an individual pediatrics provider in Van Nuys, California, licensed in California (A51510) and active in the NPI registry since October 2006. He holds a CLIA Waiver certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1013001379
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKYU HYUN KIMCredential: MD
Location Address15243 VANOWEN ST, SUITE 300Van Nuys, CA 91405-3605
Mailing Address15243 Vanowen St, Suite 300Van Nuys, CA 91405-3605 · (818) 786-4910 · Fax (818) 786-5512
Fax(818) 786-5512
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateFebruary 23, 20162 updates tracked since enumeration
NPI 1013001379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A51510
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

15243 VANOWEN ST, Van Nuys, CA 91405

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0683395

Kyu Hyun Kim, MD Inc · Van Nuys, CA
Active · expires Aug 31, 2026
CLIA Number05D0683395
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKyu Hyun Kim MD
Laboratory Phone(818) 786-4910
Laboratory LocationKyu Hyun Kim, MD Inc15243 Vanowen St Ste 300, Van Nuys, CA 91405
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
15243 VANOWEN ST, SUITE 406
VAN NUYS, CA 91405
Internal Medicine (Infectious Disease)
15243 VANOWEN ST, SUITE 406
VAN NUYS, CA 91405
Internal Medicine (Rheumatology)
15243 VANOWEN ST, STE 306
VAN NUYS, CA 91405
Pharmacy (Community/Retail Pharmacy)
15243 VANOWEN ST, SUITE 100
VAN NUYS, CA 91405
Pediatrics
15243 VANOWEN ST, SUITE 300
VAN NUYS, CA 91405
Dentist (General Practice)
15243 VANOWEN ST, SUITE 404
VAN NUYS, CA 91405
Obstetrics & Gynecology
15243 VANOWEN ST, SUITE 504
VAN NUYS, CA 91405
Radiology (Diagnostic Radiology)
15243 VANOWEN ST
VAN NUYS, CA 91405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyu Kim's NPI number?

The NPI number for Kyu Kim is 1013001379. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kyu Kim located?

Kyu Kim practices at 15243 Vanowen St Suite 300, Van Nuys, CA 91405. The listed phone number is (818) 786-4910.

What is Kyu Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kyu Kim hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0683395) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kyu Kim was last updated on February 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.