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General NPI Number Information
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NPI Number | 1407715873
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE PSYCHIATRIC NURSING INC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1165 JUDSON ST.
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City | REDLANDS
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State | CA
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Zip | 92374
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Country | US
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Telephone | 909-312-6457
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Fax | 213-566-1026
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Provider Business Mailing Address
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Address Line | 1050 UNIVERSITY AVE SUITE E107 #876
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City | SAN DIEGO
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State | CA
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Zip | 92103-3359
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Country | US
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Telephone | 909-312-6457
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Fax | 213-566-1026
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Authorized Official
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Title or Position | OWNER & PSYCHIATRIC NP
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Name | MR. OSCAR BRIAN CASTILLO
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Credential | NP
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Telephone | 909-312-6457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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