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 codeDescriptionLicenseStatePrimary
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 P
Westminster, CA 92683-5943

Phone 714-395-4648

Mailing address

2108 N St Ste 11571
Sacramento, CA 95816-5712

Phone 714-395-4648

Authorized official

Siena Elisa N Ona
Owner
7143954648

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