Provider Demographics
NPI:1922783661
Name:PHAM, LILIAN (PA-C)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:PHAM
Suffix:
Gender:F
Credentials:PA-C
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Other - Last Name:
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Mailing Address - Street 1:5866 PALA MESA DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-4473
Mailing Address - Country:US
Mailing Address - Phone:408-599-9487
Mailing Address - Fax:
Practice Address - Street 1:2490 HOSPITAL DR STE 106
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4117
Practice Address - Country:US
Practice Address - Phone:650-695-0955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant