Organization
DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY ANN SMITH RN (COO)
(619) 674-0266
Entity
Organization
Contact information
Practice address
3530 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108-1745
(619) 992-9778
(619) 374-1696
Mailing address
3530 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108-1745
(619) 674-0266
(619) 228-9877
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
364S00000X
Clinical Nurse Specialist
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/13/2025
Last updated
02/26/2026
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