Healthcare Provider Details
I. General information
NPI: 1982528345
Provider Name (Legal Business Name): CERULEAN HEALTH & WELLNESS NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7950 W SUNSET BLVD APT 525
LOS ANGELES CA
90046-3370
US
IV. Provider business mailing address
8033 W SUNSET BLVD STE 126
LOS ANGELES CA
90046-2401
US
V. Phone/Fax
- Phone: 310-269-1389
- Fax:
- Phone: 310-269-1389
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 202D00000X |
| Taxonomy | Integrative Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
BOYD
Title or Position: CEO
Credential: DNP, FNP-BC
Phone: 310-269-1389