Individual
DR. ALICE JEN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
450 ROSEWOOD AVE STE 104, CAMARILLO, CA 93010-5914
(805) 200-6994
Mailing address
5016 VIA CUPERTINO, CAMARILLO, CA 93012-5240
(805) 200-6994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5637
CA
Other
Enumeration date
05/16/2017
Last updated
03/28/2025
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