Healthcare Provider Details

I. General information

NPI: 1093752750
Provider Name (Legal Business Name): HYO KATHERINE KIM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: H. KATHERINE KIM MD

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 W PUEBLO ST
SANTA BARBARA CA
93105-4230
US

IV. Provider business mailing address

PO BOX 62106
SANTA BARBARA CA
93160-2106
US

V. Phone/Fax

Practice location:
  • Phone: 805-879-0670
  • Fax: 805-879-5692
Mailing address:
  • Phone: 805-681-1760
  • Fax: 805-681-1768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD60801502
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberC145105
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: