Healthcare Provider Details

I. General information

NPI: 1831650225
Provider Name (Legal Business Name): PAMELA VILA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 ROSECRANS AVE
BELLFLOWER CA
90706-2246
US

IV. Provider business mailing address

12200 BELLFLOWER BLVD
DOWNEY CA
90242-2804
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number20A19971
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: