Provider Demographics
NPI:1316445372
Name:DROSMAN, ARI
Entity type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:DROSMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24842 LA PLATA DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1911
Mailing Address - Country:US
Mailing Address - Phone:949-351-8558
Mailing Address - Fax:
Practice Address - Street 1:20101 SW BIRCH ST STE 278
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-0778
Practice Address - Country:US
Practice Address - Phone:949-351-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95945106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist