NPI 1134064652
Neural Vita Therapeutics
Practice location
- Address
- 1804 Bacon St, San Diego, CA 92107-3004
- Phone
- (516) 395-2167
Authorised official
- Name
- Jesse James Fowler
- Title
- Coo
- Phone
- (516) 395-2167
Registered specialties (14)
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Meals Provider
Case Management Agency
Home Health Agency
Home Infusion Agency
Public Health or Welfare Agency
Community/Behavioral Health Agency
Voluntary or Charitable Agency
Early Intervention Provider Agency
Military Outpatient Operational (Transportable) Component Clinic/Center
Physical Therapy Clinic/Center
Research Clinic/Center
Home Delivered Meals
Non-emergency Medical Transport (VAN)
Registry record
- NPI
- 1134064652
- Entity type
- Organization
- NPI issued
- 21 Apr 2026
- Record last updated
- 21 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.