Organization
STARRY NIGHT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN E LI MD (MEDICAL DIRECTOR)
(510) 713-1300
Entity
Organization
Contact information
Practice address
46356 WARM SPRINGS BLVD, FREMONT, CA 94539-7021
(510) 713-1300
(510) 713-7202
Mailing address
PO BOX 14858, FREMONT, CA 94539-1858
(510) 713-1300
(510) 713-7202
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
G48660
CA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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