Neural Vita Therapeutics
Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier in San Diego, CA. Organization (NPI-2).
NPI number1134064652
StatusActive
Last updated in NPPESApr 21, 2026
Details
- NPI
- 1134064652
- Entity type
- Organization (NPI-2)
- Legal business name
- Neural Vita Therapeutics
- Organization subpart
- No
- Enumeration date
- Apr 21, 2026
- Certification date
- Apr 21, 2026
- Last updated
- Apr 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335V00000X | Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | – | – | Yes |
| 251K00000X | Public Health or Welfare | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251V00000X | Voluntary or Charitable | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 261QM1102X | Clinic/Center, Military Outpatient Operational (Transportable) Component | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 261QR1100X | Clinic/Center, Research | – | – | |
| 332U00000X | Home Delivered Meals | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 251F00000X | Home Infusion | – | – | |
| 174200000X | Meals | – | – | |
| 251B00000X | Case Management | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
1804 Bacon StSan Diego, CA 92107-3004
Phone 516-395-2167
Mailing address
1804 Bacon StSan Diego, CA 92107-3004
Phone 516-395-2167
Authorized official
Jesse James Fowler
Coo
5163952167
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All 8 Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in San Diego · All 61,118 providers in San Diego
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