Healthcare Provider Details

I. General information

NPI: 1477464238
Provider Name (Legal Business Name): HAPPY NEURON PSYCHIATRIC NURSING CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S JUNIPER ST
ESCONDIDO CA
92025-4924
US

IV. Provider business mailing address

333 S JUNIPER ST
ESCONDIDO CA
92025-4924
US

V. Phone/Fax

Practice location:
  • Phone: 442-777-5480
  • Fax: 760-267-9192
Mailing address:
  • Phone: 442-777-5480
  • Fax: 760-267-9192

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: MR. SAMUEL CASTRO
Title or Position: PROVIDER
Credential: NP
Phone: 760-807-7926