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Contact Information

MALIBU BEACH RECOVERY CENTER, LLC
101 S SALTAIR AVE
LOS ANGELES, CA90049-4114
 Phone: 678-813-0505
 Fax: 678-813-0505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for MALIBU BEACH RECOVERY CENTER, LLC

NPI # 1801319967
LBN Legal business name MALIBU BEACH RECOVERY CENTER, LLC
Authorized official JEAN DOCKERY - (DIRECTOR OF RCM)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/20/2017
Last updated 09/08/2017 - About 9 years ago
Identifiers
CA License # 190562CP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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