| Nova Vita Alliance | |
|
117 Harvard Ave Vallejo CA 94589-1726 | |
| (650) 718-6666 | |
| Not Available |
| Full Name | Nova Vita Alliance |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 117 Harvard Ave, Vallejo, California |
| Authorized Official Name and Position | Joyce Lao (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 6507186666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Vita Alliance 1402 25th Ave San Francisco CA 94122-3318 Ph: (650) 718-6666 | Nova Vita Alliance 117 Harvard Ave Vallejo CA 94589-1726 Ph: (650) 718-6666 |
| NPI Number | 1679459424 |
|---|---|
| Provider Enumeration Date | 08/14/2025 |
| Last Update Date | 08/14/2025 |
| Certification Date | 08/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679459424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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