Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Kim, MD

Individual provider Pediatrics Physician · NPI 1922002468

Kenneth Kim, MD is a Pediatric Medicine in Fountain Valley, California. Graduated from George Washington University School of Medicine in 1992, 34 years ago. Practices with Pokroy Medical Group of Nevada Ltd, a 17-clinician group. Licensed in California.

Years since qualifying
34
Trained at
George Washington University School of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17100 Euclid St PICU
Fountain Valley, CA 92708
Phone: (714) 966-7253
Fax: (714) 966-3354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 18733 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence G077876 (CA)

Record details

NPI number1922002468
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Pokroy Medical Group Of Nevada Ltd — 17 clinicians
Accepts Medicare assignment Not indicated

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