| Lunara Psychiatry | |
|
1255 W Colton Ave # 521 Redlands CA 92374-2861 | |
| (840) 219-6064 | |
| (213) 566-1026 |
| Full Name | Lunara Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 1255 W Colton Ave # 521, Redlands, California |
| Authorized Official Name and Position | Oscar Brian Castillo (OWNER/PSYCHIATRIC NP) |
| Authorized Official Contact | 8402196064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lunara Psychiatry 1255 W Colton Ave # 521 Redlands CA 92374-2861 Ph: (840) 219-6064 | Lunara Psychiatry 1255 W Colton Ave # 521 Redlands CA 92374-2861 Ph: (840) 219-6064 |
| NPI Number | 1407715873 |
|---|---|
| Provider Enumeration Date | 01/20/2026 |
| Last Update Date | 04/15/2026 |
| Certification Date | 04/15/2026 |
| Medicare PECOS PAC ID | 5092294942 |
|---|---|
| Medicare Enrollment ID | O20260210003164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407715873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Oscar Brian Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396382206 PECOS PAC ID: 0446626345 Enrollment ID: I20221018001757 |
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