Healthcare Provider Details

I. General information

NPI: 1164356234
Provider Name (Legal Business Name): DOLCE VITA HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

4455 MURPHY CANYON RD STE 100
SAN DIEGO CA
92123-4379
US

IV. Provider business mailing address

10929 GERANA ST APT A
SAN DIEGO CA
92129-1758
US

V. Phone/Fax

Practice location:
  • Phone: 858-672-6829
  • Fax:
Mailing address:
  • Phone: 858-672-6829
  • Fax: 858-351-4267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAPHNE JACINTO RONQUILLO
Title or Position: OWNER
Credential:
Phone: 858-672-6829