Vila Phoulavan is a Medical in Oakland, California. Vila Phoulavan practices all healthcare services and medical treatments related to Medical. The NPI Number for Vila Phoulavan is 1184705212. The last update date is 2022-06-22.
Vila Phoulavan's current location address is 6220 Fairlane Dr Unit B, Oakland, California. You can contact this provider via phone number 5107351891. The mailing address for Vila Phoulavan is 6220 Fairlane Dr Unit B, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vila Phoulavan |
|---|---|
| Address | 6220 Fairlane Dr Unit B, Oakland, California |
| Phone Number | 5107351891 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184705212 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2022-06-22 |
Provider Mailing Address Detail
| Address | 6220 Fairlane Dr Unit B |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946111810 |
| Phone Number | 5107351891 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 17855 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Vila Phoulavan's 1184705212?
The Vila Phoulavan's NPI (National Provider Identifier) Number is 1184705212. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Vila Phoulavan's facilities are situated?
The facilities of Vila Phoulavan are physically located at the following address: 6220 Fairlane Dr Unit B, Oakland, CA, 946111810.
What is Vila Phoulavan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vila Phoulavan is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184705212 to Vila Phoulavan?
The Centers for Medicare & Medicaid Services originally issued the 1184705212 to Vila Phoulavan on 2006-10-17.
As of what date were the details pertaining to Vila Phoulavan last refreshed?
The information related to the Vila Phoulavan, including its address, specialty, and other relevant details, was last updated on 2022-06-22.