# NOVA VITA ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nova Vita Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679459424
- **Authorized official:** JOYCE JINGJING LAO (EXCUTIVE DIRECTOR)
- **Authorized official phone:** (628) 888-5333

## Contact information

- **Practice address:** 117 HARVARD AVE, VALLEJO, CA 94589-1726
- **Practice address phone:** (650) 718-6666
- **Mailing address:** 1402 25TH AVE, SAN FRANCISCO, CA 94122-3318
- **Mailing address phone:** (650) 718-6666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/14/2025
- **Last updated:** 11/05/2025