Neural Vita Therapeutics

LBN: Neural Vita Therapeutics
Neural Vita Therapeutics is an health care organization with primary practice located at 1804 Bacon St , San Diego CA 92107-3004. The organization recently has 14 registered licenses in different health care specialties including Other Service Providers / Meals, Agencies / Case Management, Agencies / Home Health, Agencies / Home Infusion, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Military Outpatient Operational (Transportable) Component, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Research, Suppliers / Home Delivered Meals, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, Transportation Services / Non-emergency Medical Transport (VAN). Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier is the primary health care specialty. Neural Vita Therapeutics can be contacted via phone (516) 395-2167, or through Fowler, Jesse James via phone (516) 395-2167.

Contact Information

Primary practice address
1804 Bacon St San Diego CA 92107-3004
Phone: (516) 395-2167
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Jesse James
Phone: (516) 395-2167

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Military Outpatient Operational (Transportable) Component 261QM1102X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Research 261QR1100X
Suppliers / Home Delivered Meals 332U00000X
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1134064652
LBN Legal business name Neural Vita Therapeutics
DBA Doing business as
Authorized official Fowler, Jesse James
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2026
Last updated Apr 21st, 2026 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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