Healthcare Provider Details

I. General information

NPI: 1891628566
Provider Name (Legal Business Name): CULTURE HOLISTICS, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16476 BERNARDO CENTER DR STE 200
SAN DIEGO CA
92128-2579
US

IV. Provider business mailing address

PO BOX 27996
SAN DIEGO CA
92198-1996
US

V. Phone/Fax

Practice location:
  • Phone: 858-231-0876
  • Fax: 858-377-6019
Mailing address:
  • Phone: 858-231-0876
  • Fax: 858-377-6019

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: JYL DELAROSA
Title or Position: DIRECTOR
Credential: APRN
Phone: 858-231-0876