Healthcare Provider Details

I. General information

NPI: 1538029111
Provider Name (Legal Business Name): FORENSIC NURSING OF SOCAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27555 YNEZ RD STE 110
TEMECULA CA
92591-4677
US

IV. Provider business mailing address

770 SYCAMORE AVE STE 122
VISTA CA
92083-7904
US

V. Phone/Fax

Practice location:
  • Phone: 888-415-7278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SARAH MARIN
Title or Position: PRESIDENT
Credential: NP
Phone: 951-795-8727