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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VILA PHOULAVAN, PA-C

Active Sole Proprietor

VILA PHOULAVAN, PA-C is a Medical Physician Assistant healthcare provider located in BERKELEY, California. NPI 1184705212 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BERKELEY, CA

Registration Details

NPI Number
1184705212
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2006 (19.831423774898 yrs)
Last Updated
Oct 30, 2024
License
17855 (CA)
Sole Proprietor
Yes

Practice Information

Address
2500 MILVIA ST
BERKELEY, CA, 947042636
Browse CA providers · Browse ZIP 94704
Phone
5102045514
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BERKELEY, CA

Name Credential NPI
WILLIAM A WOOD PA 1922057124
MR. ROBERT LEE BELL PA-C 1841242567
NADEREH SARNEVESHT P.A. 1871689471
MR. GEORGE Y PEARSON PA-C BS 1508901232
MS. MIRIAM MONA GAFFER FERREIRA PA-C 1013230440
SUN CAPTAIN PA-C 1265791891
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.