DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE; NPI #1790576577

Contact Information

DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE

3530 CAMINO DEL RIO N STE 200
SAN DIEGO, CA 92108-1745

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

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NPI Profile & details for DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE

NPI Number	`1790576577`
LBN Legal business name	DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE
Authorized official	SHERRY ANN SMITH - (COO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/13/2025
Last updated	02/26/2026 - About 3 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE

Contact Information

Specialty

Infusion Therapy

Clinical Nurse Specialist

Psychiatric/Mental Health, Community

NPI Profile & details for DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE

Reviews for DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE