Healthcare Provider Details

I. General information

NPI: 1891444188
Provider Name (Legal Business Name): LILY ZHU DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 LAWRENCE EXPY
SANTA CLARA CA
95051-5173
US

IV. Provider business mailing address

1721 TECHNOLOGY DR DEPT 300, 3RD FLOOR
SAN JOSE CA
95110-1305
US

V. Phone/Fax

Practice location:
  • Phone: 408-851-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20A21955
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: