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Contact Information

ALICE J KIM, DPM
450 ROSEWOOD AVENUE
104
CAMARILLO, CA93010
 Phone: 805-200-6994
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALICE J KIM · (Female)

NPI Number 1730616145
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/16/2017
Last updated 03/28/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # E5637
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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