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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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