OrganizationActive
Southern Califronia Specialists, Inc
NPI 1497942932 · Pediatrics Physician · Fountain Valley, CA
Provider details
- NPI number
- 1497942932
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Kim, President(714) 506-8094
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11190 Warner Ave
Suite 307
Fountain Valley, CA 92708-4019
Phone: (714) 545-6400
Street-level locationGet directions
Mailing address
11190 Warner Ave
Fountain Valley, CA 92708-4019
Other names (DBA / former)
- Former legal business name
- Fountain Valley Pediatric Specialists, Inc.
Registry dates
- Enumerated
- 2007-09-28
- Last updated
- 2007-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.