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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598986192 NPPES
California Other NP13851 NURSE PRACTIONER

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