Healthcare Provider Details

I. General information

NPI: 1558506865
Provider Name (Legal Business Name): SEAN ERIC ROUGEAU N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 ROSEMEAD BLVD SUITE 200
EL MONTE CA
91731
US

IV. Provider business mailing address

3208 ROSEMEAD BLVD SUITE 200
EL MONTE CA
91731-2830
US

V. Phone/Fax

Practice location:
  • Phone: 626-227-7014
  • Fax:
Mailing address:
  • Phone: 626-227-7014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95003703
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number523801
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95003703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: