Healthcare Provider Details

I. General information

NPI: 1811430820
Provider Name (Legal Business Name): RIZALINA ALBANO NP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2016
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 H ST STE 201
CHULA VISTA CA
91910-5547
US

IV. Provider business mailing address

374 H ST STE 201
CHULA VISTA CA
91910-5547
US

V. Phone/Fax

Practice location:
  • Phone: 619-349-0949
  • Fax:
Mailing address:
  • Phone: 619-349-0949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95005436
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number531890
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95005436
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: