Healthcare Provider Details

I. General information

NPI: 1467658633
Provider Name (Legal Business Name): DAN DURU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 S EASTERN AVE STE 500
COMMERCE CA
90040-4033
US

IV. Provider business mailing address

5800 S EASTERN AVE STE 500
COMMERCE CA
90040-4033
US

V. Phone/Fax

Practice location:
  • Phone: 323-308-9397
  • Fax: 323-406-2237
Mailing address:
  • Phone: 323-308-9397
  • Fax: 323-406-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSB94028426.
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: