Individual
KENNETH HYUNCHUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5800
(310) 423-0140
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-1780
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29582
AL
207VX0201X
Gynecologic Oncology Physician
2012-01379
NC
207VX0201X
Gynecologic Oncology Physician
Primary
C169111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051599094
BCBS
AL
01
—
051599095
BCBS
AL
01
—
051599096
BCBS
AL
01
—
051599097
BCBS
AL
01
—
051599098
BCBS
AL
01
—
051599099
BCBS
AL
05
—
09334346
—
MS
05
—
111021
—
AL
05
—
119155
—
AL
05
—
119158
—
AL
05
—
119288
—
AL
05
—
119289
—
AL
05
—
119290
—
AL
01
—
P00908739
RAILROAD MEDICARE
AL
01
—
Z01955
VIVA
AL
Enumeration date
05/20/2007
Last updated
09/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us