Phan, Lily

Phan, Lily is an individual health care provider with primary practice located at 80 Saratoga Ave , Santa Clara CA 95051-7303. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Phan, Lily can be contacted via phone (408) 351-6400.

Contact Information

Primary practice address
80 Saratoga Ave Santa Clara CA 95051-7303
Phone: (408) 351-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X California

Profile Details

NPI number 1710545736
LBN Legal business name Phan, Lily
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2019
Last updated Jun 4th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710545736 NPPES
California MEDICAID NA

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