Tom, Lili

Tom, Lili is an sole proprietor health care provider with primary practice located at 39400 Paseo Padre Pkwy , Fremont CA 94538-2310. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tom, Lili can be contacted via phone (510) 248-5198.

Contact Information

Primary practice address
39400 Paseo Padre Pkwy Fremont CA 94538-2310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 10751 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP9338 California

Profile Details

NPI number 1992807101
LBN Legal business name Tom, Lili
Credentials RN, F-NP, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jan 18th, 2022 - about 2 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 1992807101 NPPES
California Other RN514707 MEDI-CAL RENDERING NUMBER

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