CLIFFSIDE MALIBU II NPI 1881904035

NPI Information

CLIFFSIDE MALIBU II 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. CLIFFSIDE MALIBU II NPI is 1881904035. The provider is registered as an organization entity type.

The provider's business location address is:

5853 BUSCH DRIVE
MALIBU, CA
ZIP 90265
Phone: (310) 589-2800
Fax: (818) 345-9241

The provider's authorized official is Kelly Stephenson .
The authorized official title is Chief Operating Officer and has the following contact phone number (310) 579-1004.

The CLIA number assigned to this NPI record is 05D2079521 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 6/27/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.