MALIBU MEDICAL CORP NPI 1386988590

NPI Information

  • NPI: 1386988590
  • Provider Name: MALIBU MEDICAL CORP
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 05D0943144
  • Address: 23661 PACIFIC COAST HWY
    MALIBU, CA
    ZIP 90265
  • Phone: (310) 456-1603

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NPI Details

MALIBU MEDICAL CORP is an urgent care clinic center in Malibu, CA. MALIBU MEDICAL CORP NPI is 1386988590. The provider is registered as an organization entity type.

The provider's business location address is:

23661 PACIFIC COAST HWY
MALIBU, CA
ZIP 90265-825
Phone: (310) 456-1603
Fax: (310) 456-5697

The provider's authorized official is Lisa M Benya .
The authorized official title is Owner and has the following contact phone number (310) 456-1603.

The CLIA number assigned to this NPI record is 05D0943144 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

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
1261QU0200XClinic/CenterUrgent Care20A7615CALIFORNIAYes

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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