Individual
EMILY SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2221 WANKEL WAY, OXNARD, CA 93030-0192
(805) 988-9366
(805) 483-3747
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61271
CA
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
61271
CA
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61271
STATE LICENSE
CA
Enumeration date
04/12/2022
Last updated
01/20/2026
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