Search › California › 363AM0700X
Vila Phoulavan, PA-C
NPI 1184705212 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2500 Milvia St
Berkeley, CA 94704 - Phone
- (510) 204-5514
- Organisation at this address
- Cornelia M Pessoa, Md
Roxanne Fiscella, M.D.
Jonathan Noble, M.D., Inc.
Robert A. Fink, Md, Facs, Pc
2500 Milvia Prescription PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 101 Casa Buena Dr, Corte Madera, CA
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California