PYONG S. KIM MD
NPI 1104993096
Otolaryngology - Plastic Surgery within the Head & Neck in Bellflower, CA

Q: What is Pyong Kim's NPI number?

The NPI number for Pyong Kim is 1104993096. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Pyong Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Pyong Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment

9400 ROSECRANS AVE, BELLFLOWER, CA 90706(562) 461-3000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pyong S. Kim Md NPPES

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

PYONG S. KIM MD (NPI 1104993096) is an individual plastic surgery within the head & neck provider in Bellflower, California, licensed in California (G80688) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1993).

NPPES Registry Identity

NPI1104993096

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NamePYONG S. KIMCredential: MD

Location Address9400 ROSECRANS AVEBellflower, CA 90706-2246

Mailing Address9400 Rosecrans AveBellflower, CA 90706-2246 · (562) 461-3000

Phone(562) 461-3000

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1993

Enumeration DateNovember 29, 2006

Last NPPES UpdateNovember 29, 2021

✔ NPI 1104993096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in CA · G80688

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

9400 ROSECRANS AVE, Bellflower, CA 90706

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pyong S. Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436219318

PECOS Enrollment IDI20081121000526

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KELLEY MABEL HWANG PHARMD

Pharmacist