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RECOVERY MALIBU INC. NPI 1093182198


NPI Information

NPI: 1093182198
Provider Name: RECOVERY MALIBU, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2129044

Address:
20723 ROCKCROFT DR.
MALIBU, CA
ZIP 90265
Phone: (424) 388-1241
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RECOVERY MALIBU, 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. RECOVERY MALIBU, INC. NPI is 1093182198. The provider is registered as an organization entity type.

The provider's business location address is:

20723 ROCKCROFT DR.
MALIBU, CA
ZIP 90265
Phone: (424) 388-1241

The provider's authorized official is Magdalen Gustilo .
The authorized official title is Director Of Payer Relations and has the following contact phone number (714) 568-7667.

The CLIA number assigned to this NPI record is 05D2129044 - other - facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2015 and was last updated on 1/2/2024.


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 Facility190859APCALIFORNIANo
2324500000XSubstance Abuse Rehabilitation Facility190075APCALIFORNIAYes

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: 4/28/2024

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.