Organization
BAY AREA GYNECOLOGY ONCOLOGY INC
Active
Other names
Bay Area Gynecology Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FREDERICK LILJA M.D. (DIRECTOR)
(408) 827-4274
Entity
Organization
Contact information
Practice address
910 CAMPISI WAY STE 2A, CAMPBELL, CA 95008-2351
(408) 827-4274
(408) 827-4275
Mailing address
PO BOX 33235, LOS GATOS, CA 95031-3235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A068842
CA
174400000X
Specialist
Primary
G85643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A068842
—
CA
05
—
00G856431
—
CA
01
—
A068842
LICENSE DR. MANUEL
CA
01
—
G85643
LICENSE DR. LILJA
CA
Enumeration date
08/21/2006
Last updated
09/29/2025
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