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AVALON BY THE SEA INC NPI 1669727855


NPI Information

NPI: 1669727855
Provider Name: AVALON BY THE SEA, INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
32420 PACIFIC COAST HWY
MALIBU, CA
ZIP 90265
Phone: (310) 457-9111
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AVALON BY THE SEA, INC 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. AVALON BY THE SEA, INC NPI is 1669727855. The provider is registered as an organization entity type.

The provider's business location address is:

32420 PACIFIC COAST HWY
MALIBU, CA
ZIP 90265-531
Phone: (310) 457-9111

The provider's authorized official is Valentin Gasparyan .
The authorized official title is Director Of Business Development and has the following contact phone number (310) 457-9111.

The enumeration date for this NPI number is 7/13/2012 and was last updated on 3/16/2016.


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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