1. Home
  2. Directory
  3. California
  4. Sylmar
  5. Internal Medicine
  6. NPI Profile

DR. HOLLY HYO-KYUNG KIM M.D.
NPI 1306069463
Internal Medicine in Sylmar, CA

Active since April 10, 2007PECOS Enrolled
14445 OLIVE VIEW DR RM 2B182, SYLMAR, CA 91342(818) 364-3205 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2021, Aug 20, 2019 (2 updates tracked since 2019).

About Dr. Holly Hyo-kyung Kim M.d. NPPES

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

DR. HOLLY HYO-KYUNG KIM M.D. (NPI 1306069463) is an individual internal medicine provider in Sylmar, California, licensed in California (A94274) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306069463
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HOLLY HYO-KYUNG KIMCredential: M.D.
Location Address14445 OLIVE VIEW DR RM 2B182Sylmar, CA 91342-1437
Mailing Address6041 Cadillac AveLos Angeles, CA 90034-1702 · (323) 857-2000
Phone(818) 364-3205
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1306069463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A94274
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14445 OLIVE VIEW DR RM 2B182, Sylmar, CA 91342
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Holly Hyo-kyung Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Holly Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.9 mi
Health Maintenance Organization
19105 GOLDEN VALLEY RD
Santa Clarita, CA 91387
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1316409410 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MAHNAZ HASSANVAN R.N.
Registered Nurse
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
JOSEPH HAN
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342
Los Angeles County (747) 210-3000
JUN KIM
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
DR. TAMARA MODILEVSKY M.D.
Internal Medicine
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
MR. ARMEEN MEHRABAN MEHRABANI MD
Internal Medicine
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342
Los Angeles County (520) 977-3259
MS. REBEKAH COSSETTE SMITH BA
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
TIFFANY VUTHEARY HANGSE
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342
Los Angeles County (747) 210-3000
NICOLE MANDICH JOEL MD
Internal Medicine
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342
Los Angeles County (747) 210-3000

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 Holly Kim's NPI number?

The NPI number for Holly Kim is 1306069463. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Holly Kim located?

Holly Kim practices at 14445 Olive View Dr Rm 2b182, Sylmar, CA 91342. The listed phone number is (818) 364-3205.

What is Holly Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Holly Kim enrolled in Medicare?

Yes. Holly Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Santa Clarita, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holly Kim was last updated on November 3, 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.