Provider Demographics
NPI:1790301620
Name:VILA, NEWMAN
Entity Type:Individual
Prefix:
First Name:NEWMAN
Middle Name:
Last Name:VILA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 BLANDING CT
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-3418
Mailing Address - Country:US
Mailing Address - Phone:510-934-8100
Mailing Address - Fax:
Practice Address - Street 1:2955 BLANDING CT
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-3418
Practice Address - Country:US
Practice Address - Phone:510-934-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor