CLIFFSIDE MALIBU OUTPATIENT SERVICES NPI 1164826210

NPI Information

  • NPI: 1164826210
  • Provider Name: CLIFFSIDE MALIBU OUTPATIENT SERVICES
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Former Legal Business Name: CLIFFSIDE MALIBU IOP
  • Address: 29160 HEATHERCLIFF RD., STE. 100
    MALIBU, CA
    ZIP 90265
  • Phone: (424) 781-4748

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NPI Details

CLIFFSIDE MALIBU OUTPATIENT SERVICES is a rehabilitation and substance use disorder clinic center in Malibu, CA. CLIFFSIDE MALIBU OUTPATIENT SERVICES NPI is 1164826210. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cliffside Malibu Iop.

The provider's business location address is:

29160 HEATHERCLIFF RD., STE. 100
MALIBU, CA
ZIP 90265
Phone: (424) 781-4748

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 enumeration date for this NPI number is 10/17/2014 and was last updated on 11/14/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder190815ACALIFORNIANo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder190078APCALIFORNIAYes

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: 11/21/2025

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