VILA PHOULAVAN, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1184705212
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 17855 (CA) |
Frequently Asked Questions
NPI 1184705212 is the National Provider Identifier for VILA PHOULAVAN, PA-C, a Physician Assistant - Medical provider located in Berkeley, CA. This NPI was enumerated on October 17, 2006.
VILA PHOULAVAN, PA-C practices at 2500 MILVIA ST, Berkeley, CA 94704.
Quick Facts
- NPI
- 1184705212
- Type
- Individual
- Enumerated
- Oct 17, 2006
- Last Updated
- Oct 30, 2024
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