Healthcare Provider Details

I. General information

NPI: 1124213236
Provider Name (Legal Business Name): ZARENO CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E ROUTE 66
GLENDORA CA
91740-3502
US

IV. Provider business mailing address

405 E ROUTE 66
GLENDORA CA
91740-3502
US

V. Phone/Fax

Practice location:
  • Phone: 626-335-0204
  • Fax: 626-355-0306
Mailing address:
  • Phone: 626-335-0204
  • Fax: 626-355-0306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DENNIS ZARENO
Title or Position: PRESIDENT
Credential:
Phone: 626-335-0204