101 Foot And Ankle INC.
Podiatrist in Camarillo, CA. Organization (NPI-2).
NPI number1043924335
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1043924335
- Entity type
- Organization (NPI-2)
- Legal business name
- 101 Foot And Ankle INC.
- Organization subpart
- No
- Enumeration date
- Jan 11, 2023
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Other names
- Alice J. Kim Dpm (Former Legal Business Name)
Practice location
450 Rosewood Ave Ste 104Camarillo, CA 93010-5914
Phone 805-200-6994
Mailing address
5016 Via CupertinoCamarillo, CA 93012-5240
Phone 805-200-6994
Authorized official
Alice Jen Kim
Doctor
8052006994
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