Healthcare Provider Details

I. General information

NPI: 1306701586
Provider Name (Legal Business Name): OMNIA INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1528 SKYLINE DR
LEMON GROVE CA
91945-4450
US

IV. Provider business mailing address

5173 WARING RD # 119
SAN DIEGO CA
92120-2705
US

V. Phone/Fax

Practice location:
  • Phone: 619-987-8769
  • Fax:
Mailing address:
  • Phone: 619-987-8769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LEMUS
Title or Position: MANAGING PARTNER
Credential:
Phone: 619-987-8769