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Contact Information

DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE
3530 CAMINO DEL RIO N STE 200
SAN DIEGO, CA92108-1745
 Phone: 619-992-9778
 Fax: 619-374-1696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infusion Therapy

163WI0500X
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health, Community

364SP0812X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE · (Female)

NPI # 1790576577
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2025
Last updated 02/26/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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