Kim, Alice Jen

Kim, Alice Jen is an sole proprietor health care provider with primary practice located at 450 Rosewood Ave Ste 104 , Camarillo CA 93010-5914. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Kim, Alice Jen can be contacted via phone (805) 200-6994.

Contact Information

Primary practice address
450 Rosewood Ave Ste 104 Camarillo CA 93010-5914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E5637 California

Profile Details

NPI number 1730616145
LBN Legal business name Kim, Alice Jen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2017
Last updated Apr 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers