EVERGREEN MEDICAL GROUP, INC.
Osteopathic Medicine at White Rd, San Jose, CA

License number
California A100943
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: DR. LILY KAO M.D.
Title: PHYSICIAN
Phone: (408) 223-7000
Address
Address
2690 S White Rd STE 50, San Jose, CA 95148
National Provider ID: 1508159294
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EVERGREEN MEDICAL GROUP, INC

San Jose, CA  -  San Francisco, CA

Status:
Inactive
Registration:
May 6, 2011
Addresses:
2690 S White Rd STE 50, San Jose, CA 95148 (Physical)
44 Montgomery St, San Francisco, CA 94104
State ID:
C3375603
Business type:
Articles of Incorporation
President:
Lily Kao (President)
Agent:
Douglas S Free,San Francisco, CA 94104 (Physical)

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