Organization
EVERGREEN MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILY KAO M.D. (PHYSICIAN)
(408) 223-7000
Entity
Organization
Contact information
Practice address
2690 S WHITE RD STE 50, SAN JOSE, CA 95148-2075
(408) 223-7000
(408) 223-7001
Mailing address
2690 S WHITE RD STE 50, SAN JOSE, CA 95148-2075
(408) 223-7000
(408) 223-7001
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A100943
CA
Other
Enumeration date
05/27/2011
Last updated
03/05/2012
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