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Organization
NOVA VITA ALLIANCE
Active
Organization
NOVA VITA ALLIANCE
Active
Other names
Nova Vita Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE JINGJING LAO (EXCUTIVE DIRECTOR)
(628) 888-5333
Entity
Organization
Contact information
Practice address
117 HARVARD AVE, VALLEJO, CA 94589-1726
(650) 718-6666
Mailing address
1402 25TH AVE, SAN FRANCISCO, CA 94122-3318
(650) 718-6666
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
08/14/2025
Last updated
11/05/2025
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