Provider Demographics
NPI:1083856405
Name:UILA, SETIMA KIMO (AA)
Entity Type:Individual
Prefix:
First Name:SETIMA
Middle Name:KIMO
Last Name:UILA
Suffix:
Gender:M
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4411
Mailing Address - Country:US
Mailing Address - Phone:415-621-6551
Mailing Address - Fax:415-621-5466
Practice Address - Street 1:440 9TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-4411
Practice Address - Country:US
Practice Address - Phone:415-621-6551
Practice Address - Fax:415-621-5466
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)