Organization · NPI-2
New Vita Medical
Physical Medicine & Rehabilitation · Westminster, CA
NPI number1639979974
StatusActive
Last updated in NPPESMar 17, 2025
Details
- NPI
- 1639979974
- Entity type
- Organization (NPI-2)
- Legal business name
- New Vita Medical
- Organization subpart
- No
- Enumeration date
- Mar 17, 2025
- Certification date
- Mar 17, 2025
- Last updated
- Mar 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 2081P0004X | Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine | – | – |
Other names
- New Vita Medical, P.C. (Doing Business As)
Practice location
9500 Bolsa Ave Ste PWestminster, CA 92683-5943
Phone 714-395-4648
Mailing address
2108 N St Ste 11571Sacramento, CA 95816-5712
Phone 714-395-4648
Authorized official
Siena Elisa N Ona
Owner
7143954648
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