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MALIBU DETOX LLC. NPI 1164184107


NPI Information

NPI: 1164184107
Provider Name: MALIBU DETOX, LLC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2250239

Address:
7214 BIRDVIEW AVE
MALIBU, CA
ZIP 90265
Phone: (310) 956-4692
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MALIBU DETOX, LLC. is a substance abuse rehabilitation facility in Malibu, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MALIBU DETOX, LLC. NPI is 1164184107. The provider is registered as an organization entity type.

The provider's business location address is:

7214 BIRDVIEW AVE
MALIBU, CA
ZIP 90265-111
Phone: (310) 956-4692

The provider's authorized official is Robby S Stempler .
The authorized official title is Ceo and has the following contact phone number (310) 595-5578.

The CLIA number assigned to this NPI record is 05D2250239 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2021 and was last updated on 10/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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