SAM KIM PHYSICIAN SERVICES INC – NPI #1104465541
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

SAM KIM PHYSICIAN SERVICES INC is a provider located in ENCINO, CA. NPPES has assigned the NPI number 1104465541 to SAM KIM PHYSICIAN SERVICES INC on January 02, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Feb 10, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAM KIM PHYSICIAN SERVICES INC below.

NPI Profile for
SAM KIM PHYSICIAN SERVICES INC

NPI Number
1104465541
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAM KIM PHYSICIAN SERVICES INC
Primary location
5400 BALBOA BLVD STE 326
ENCINO, CA 91316-5214
Phone: (818) 789-0941 Fax: (818) 789-6726
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAMUEL KIM
CEO
Phone: (818) 939-4511
Updated
Certification Date
Feb 10, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
261QP2300X
- Clinic/Center / Primary Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.