| NPI | 1043924335 |
|---|---|
| Former Legal Business Name | ALICE J. KIM DPM |
| Entity Type | Organization |
| Authorized Contact | ALICE JEN KIM Doctor 805-200-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-05-25 |