KYU HYUN KIM MD INC
NPI 1114007754
Pediatrics in Van Nuys, CA

NPI Status: Active since October 17, 2006

Contact Information

15243 VANOWEN ST
SUITE 300
VAN NUYS, CA
ZIP 91405
Phone: (818) 786-4910
Fax: (818) 786-5512

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  • Organization
  • Pediatrics
  • CLIA Number: 05D0683395
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About KYU HYUN KIM MD INC

This page provides the complete NPI Profile along with additional information for Kyu Hyun Kim Md Inc, a pediatrician established in Van Nuys, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1114007754 assigned on October 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kyu Hyun Kim M D (President)

NPI
1114007754
Provider Name
KYU HYUN KIM MD INC
Entity Type
Organization
Location Address
15243 VANOWEN ST SUITE 300 VAN NUYS, CA 91405
Location Phone
(818) 786-4910
Location Fax
(818) 786-5512
Mailing Address
15243 VANOWEN ST SUITE 300 VAN NUYS, CA 91405
Mailing Phone
(818) 786-4910
Mailing Fax
(818) 786-5512
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2006
Last Update Date
03-10-2016
Code Navigator

A pediatrician like Kyu Hyun Kim Md Inc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYU HYUN KIM M D

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 786-4910

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0683395
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KYU HYUN KIM MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kyu Hyun Kim Md Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114007754, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 0 + 0 + 1 + 4 + 7 + 1 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114007754.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
15243 VANOWEN ST, SUITE 301
VAN NUYS, CA 91405
Nurse Practitioner (Family)
15243 VANOWEN ST, SUITE 306
VAN NUYS, CA 91405
Internal Medicine (Infectious Disease)
15243 VANOWEN ST, SUITE 406
VAN NUYS, CA 91405
Radiology (Diagnostic Radiology)
15243 VANOWEN ST
VAN NUYS, CA 91405
Radiology (Diagnostic Radiology)
15243 VANOWEN ST
VAN NUYS, CA 91405
Nuclear Medicine
15243 VANOWEN ST
VAN NUYS, CA 91405
Podiatrist (Foot & Ankle Surgery)
15243 VANOWEN ST, SUITE 411B
VAN NUYS, CA 91405
Specialist
15243 VANOWEN ST, 510
VAN NUYS, CA 91405
Internal Medicine
15243 VANOWEN ST, SUITE 101
VAN NUYS, CA 91405
Internal Medicine
15243 VANOWEN ST, SUITE 406
VAN NUYS, CA 91405
Internal Medicine
15243 VANOWEN ST, SUITE 101
VAN NUYS, CA 91405
Internal Medicine
15243 VANOWEN ST, SUITE 408
VAN NUYS, CA 91405
Internal Medicine
15243 VANOWEN ST, STE 504A
VAN NUYS, CA 91405
Internal Medicine
15243 VANOWEN ST, SUITE 406
VAN NUYS, CA 91405
Dentist (General Practice)
15243 VANOWEN ST
VAN NUYS, CA 91405
Dentist
15243 VANOWEN ST, #205
VAN NUYS, CA 91405
Specialist
15243 VANOWEN ST, SUITE 212
VAN NUYS, CA 91405
Internal Medicine
15243 VANOWEN ST, STE 406
VAN NUYS, CA 91405
Acupuncturist
15243 VANOWEN ST, SUITE 400
VAN NUYS, CA 91405
Pharmacist
15243 VANOWEN ST
VAN NUYS, CA 91405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114007754, enumerated as an "organization" on October 17, 2006.

The provider is located at 15243 VANOWEN ST SUITE 300 VAN NUYS, CA 91405 and the phone number is (818) 786-4910.

Pediatrics with taxonomy code 208000000X.