Healthcare Provider Details

I. General information

NPI: 1871401877
Provider Name (Legal Business Name): CALM WAVE MEDICATION MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10737 LAUREL ST STE 290
RANCHO CUCAMONGA CA
91730-7601
US

IV. Provider business mailing address

6342 POINTE CT
FONTANA CA
92336-1028
US

V. Phone/Fax

Practice location:
  • Phone: 909-560-0990
  • Fax: 909-506-0196
Mailing address:
  • Phone: 951-310-6367
  • Fax: 909-506-0196

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: PATRICIA BOYLE
Title or Position: OWNER/NP
Credential: DNP
Phone: 951-310-6367