Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holisticmd, Inc

Organization Counselor · NPI 1245671528

Holisticmd, Inc is a Counselor in San Diego, California. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3636 Fifth Ave
San Diego, CA 92103-4281
Phone: (310) 853-8855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Nutritionist Taxonomy 133N00000X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X
Licensed Vocational Nurse Taxonomy 164X00000X

Record details

NPI number1245671528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Rodgers — Executive Director · (310) 678-6933
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 15, 2013
Mailing address3636 Fifth Ave, San Diego, CA 92103-4281

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