Provider Demographics
NPI:1225081441
Name:LILJA, JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:LILJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 33235
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95031-3235
Mailing Address - Country:US
Mailing Address - Phone:408-827-4274
Mailing Address - Fax:408-827-4275
Practice Address - Street 1:455 OCONNOR DR STE 370
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1600
Practice Address - Country:US
Practice Address - Phone:408-827-4274
Practice Address - Fax:408-827-4275
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85643207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G856431Medicare ID - Type Unspecified
H18658Medicare UPIN