ESTUS MEDICAL INC NPI 1740731009

NPI Information

NPI: 1740731009
Provider Name: ESTUS MEDICAL INC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
6981 BIRDVIEW AVE
MALIBU, CA
ZIP 90265
Phone: (310) 922-3858
Get Directions

ESTUS MEDICAL INC is an addiction medicine family medicine in Malibu, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ESTUS MEDICAL INC NPI is 1740731009. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6981 BIRDVIEW AVE
MALIBU, CA
ZIP 90265-105
Phone: (310) 922-3858

The provider's authorized official is Rick Campa .
The authorized official title is President and has the following contact phone number (310) 922-3858.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.

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
1	207QA0401X	Family Medicine	Addiction Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	127923	OTHER	CALIFORNIA	MEDICAL BOARD OF CALIFORNIA

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

NPI Synchronization or Removal

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