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ACADIA MALIBU INC. NPI 1508390881


NPI Information

NPI: 1508390881
Provider Name: ACADIA MALIBU, INC.

Doing Business As: ALO HOUSE RECOVERY CENTERS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2132182

Address:
4423 AND 4423 1/2 SANTA MONICA BOULEVARD
LOS ANGELES, CA
ZIP 90029
Phone: (805) 370-8048
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ACADIA MALIBU, INC. is a rehabilitation and substance use disorder clinic center in Los Angeles, CA. ACADIA MALIBU, INC. NPI is 1508390881. The provider is registered as an organization entity type.
The provider Is Doing Business As Alo House Recovery Centers.

The provider's business location address is:

4423 AND 4423 1/2 SANTA MONICA BOULEVARD
LOS ANGELES, CA
ZIP 90029
Phone: (805) 370-8048
Fax: (310) 919-3684

The provider's authorized official is Jared Valentine .
The authorized official title is Ceo and has the following contact phone number (310) 579-5192.

The CLIA number assigned to this NPI record is 05D2132182 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2017 and was last updated on 8/23/2019.


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
1251S00000XCommunity/Behavioral HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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