Healthcare Provider Details

I. General information

NPI: 1205745361
Provider Name (Legal Business Name): HILLSIDE WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4521 SHERMAN OAKS AVE STE 101
SHERMAN OAKS CA
91403-3807
US

IV. Provider business mailing address

10201 MOUNTAIR AVE APT 303
TUJUNGA CA
91042-2653
US

V. Phone/Fax

Practice location:
  • Phone: 424-261-9444
  • Fax:
Mailing address:
  • Phone: 818-284-8589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTIAN MICHAEL VILINA
Title or Position: TRAINEE
Credential:
Phone: 424-483-0841