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
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/14/2025
Last updated
11/05/2025
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