Khoshaba, Lily Pe
Khoshaba, Lily Pe is an sole proprietor health care provider with primary practice located at 6596 N Winton Way , Winton CA 95388-9532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Khoshaba, Lily Pe can be contacted via phone (209) 357-7755.Contact Information
Primary practice address
6596 N Winton Way
Winton CA 95388-9532
Phone: (209) 357-7755
Fax: (209) 357-7263
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | NP13851 | California |
Profile Details
NPI number | 1598986192 |
---|---|
LBN Legal business name | Khoshaba, Lily Pe |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 1st, 2007 |
Last updated | Oct 7th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598986192 | NPPES |
California | Other | NP13851 | NURSE PRACTIONER |
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