Individual
LILY KHANH-LINH THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W TULLY RD, OB/GYN CLINIC, SAN JOSE, CA 95111
(408) 885-5553
Mailing address
39260 CANYON HEIGHTS DR, FREMONT, CA 94539
(510) 794-8466
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G78516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G785160
—
CA
Enumeration date
10/05/2006
Last updated
07/09/2007
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