Healthcare Provider Details

I. General information

NPI: 1972419026
Provider Name (Legal Business Name): KRISTINE LOMAS NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

589 SEABRIGHT CIR
COSTA MESA CA
92627-4906
US

IV. Provider business mailing address

589 SEABRIGHT CIR
COSTA MESA CA
92627-4906
US

V. Phone/Fax

Practice location:
  • Phone: 858-829-3867
  • Fax:
Mailing address:
  • Phone: 858-829-3867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KRISTINE MAE LOMAS
Title or Position: PRESIDENT
Credential: NP
Phone: 858-829-3867