VILA PHOULAVAN, PA-C

PA-C

Medical Physician Assistant

NPI: 1184705212IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

17855(CA)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2004

Contact & Hours

Via practice · 2 locations total

Address: 2500 MILVIA ST
BERKELEY, CA 94704
Phone: (510) 204-5514

Practice locations map

Locations (2)

Practice Location

2500 MILVIA ST, BERKELEY, CA

Practice Location

101 CASA BUENA DR, CORTE MADERA, CA

Quick Facts

NPI: 1184705212
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 22

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