Soohoo, Lillian Fong

Soohoo, Lillian Fong is an individual health care provider with primary practice located at 2490 Hospital Drive The Menkes Clinic Suite 201, Mountain View CA 94040-4124. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Soohoo, Lillian Fong can be contacted via phone (650) 962-4600.

Contact Information

Primary practice address
2490 Hospital Drive The Menkes Clinic Suite 201 Mountain View CA 94040-4124
Fax: (650) 962-4602
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A49205 California

Profile Details

NPI number 1629140819
LBN Legal business name Soohoo, Lillian Fong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Oct 1st, 2008 - about 16 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 1629140819 NPPES
California Other A49205 MEDICAL LICENSE

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