Healthcare Provider Details

I. General information

NPI: 1346011251
Provider Name (Legal Business Name): DROMEN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 CANDLEWOOD ST STE 4G
LAKEWOOD CA
90712-1925
US

IV. Provider business mailing address

930 7TH ST
NORCO CA
92860-1438
US

V. Phone/Fax

Practice location:
  • Phone: 562-800-3130
  • Fax:
Mailing address:
  • Phone: 909-821-7598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JOHN FERINGA
Title or Position: OFFICER
Credential:
Phone: 909-821-7598