IndividualActive
Alice Kim, DPM
NPI 1730616145 · Podiatrist · Camarillo, CA
Provider details
- NPI number
- 1730616145
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- E5637 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
450 Rosewood Ave Ste 104
Camarillo, CA 93010-5914
Phone: (805) 200-6994
Approximate (ZIP-level) locationGet directions
Mailing address
5016 Via Cupertino
Camarillo, CA 93012-5240
Registry dates
- Enumerated
- 2017-05-16
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.