Individual
LILLIAN FONG SOOHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2490 HOSPITAL DRIVE, THE MENKES CLINIC SUITE 201, MOUNTAIN VIEW, CA 94040-4124
(650) 962-4600
(650) 962-4602
Mailing address
PO BOX 1497, L, LOS GATOS, CA 95031-1497
(408) 836-9030
(408) 395-8648
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A49205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A49205
MEDICAL LICENSE
CA
Enumeration date
11/14/2006
Last updated
10/01/2008
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