Dr. Alice Jen Kim, DPM
Podiatrist in Camarillo, CA. Individual provider (NPI-1).
NPI number1730616145
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1730616145
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alice Jen Kim
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2017
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | E5637 | CA | Yes |
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
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