# HLY MEDICAL GROUP CA, P.A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558121905
- **Authorized official:** VANESSA NILES MD (PRESIDENT)
- **Authorized official phone:** (415) 413-8833

## Contact information

- **Practice address:** 2215 S EL CAMINO REAL STE 206, SAN MATEO, CA 94403-1898
- **Practice address phone:** (415) 413-8833
- **Mailing address:** 2215 S EL CAMINO REAL STE 206, SAN MATEO, CA 94403-1898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2024
- **Last updated:** 03/21/2024