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MALIBU CANYON URGENT CARE LLC NPI 1356931760


NPI Information

NPI: 1356931760
Provider Name: MALIBU CANYON URGENT CARE LLC

Former Legal Business Name: MALIBU CANYON URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2213897

Address:
5673 LAS VIRGENES RD
CALABASAS, CA
ZIP 91302
Phone: (818) 919-4175
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MALIBU CANYON URGENT CARE LLC is an urgent care clinic center in Calabasas, CA. MALIBU CANYON URGENT CARE LLC NPI is 1356931760. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Malibu Canyon Urgent Care.

The provider's business location address is:

5673 LAS VIRGENES RD
CALABASAS, CA
ZIP 91302-069
Phone: (818) 919-4175

The provider's authorized official is Salvador Plasencia .
The authorized official title is Owner and has the following contact phone number (818) 919-4175.

The CLIA number assigned to this NPI record is 05D2213897 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2021 and was last updated on 7/1/2022.


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
1207R00000XInternal MedicineNo
2261QU0200XClinic/CenterUrgent CareYes

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

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