Organization · Type 2 NPI
Dreamscape Ketamine and IV Therapy Lounge
Infusion Therapy Registered Nurse · San Diego, CA
NPI number
1790576577
Active
Practice location
3530 Camino Del Rio N Ste 200
San Diego, CA 92108-1745
Fax (619) 374-1696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse Primary | 163WI0500X | None listed |
| Clinical Nurse Specialist | 364S00000X | None listed |
| Community Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0812X | None listed |
Infusion Therapy Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1790576577
Dreamscape Ketamine and IV Therapy Lounge's National Provider Identifier is 1790576577, issued on May 13, 2025. The primary taxonomy on file is Infusion Therapy Registered Nurse (163WI0500X), and the practice location is in San Diego, CA. The record was last updated on Feb 26, 2026.