Kim, Alice Kisun
Kim, Alice Kisun is an individual health care provider with primary practice located at 2558 Tiffany Pl , Fullerton CA 92833-1527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kim, Alice Kisun can be contacted via phone (213) 200-3500.Contact Information
Primary practice address
2558 Tiffany Pl
Fullerton CA 92833-1527
Phone: (213) 200-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95027340 | California |
Profile Details
NPI number | 1770362998 |
---|---|
LBN Legal business name | Kim, Alice Kisun |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2023 |
Last updated | Sep 26th, 2023 - about last year |
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.
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