Healthcare Provider Details

I. General information

NPI: 1568302610
Provider Name (Legal Business Name): RONIJOY DURAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16314 CORNUTA AVE
BELLFLOWER CA
90706-4814
US

IV. Provider business mailing address

435 W GLADSTONE ST UNIT 451G
GLENDORA CA
91740-5528
US

V. Phone/Fax

Practice location:
  • Phone: 562-461-9272
  • Fax: 562-920-1960
Mailing address:
  • Phone: 562-461-9272
  • Fax: 562-920-1960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number25449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: