| Malibu Outpatient Inc | |
|
28955 Pacific Coast Hwy Ste 210 Malibu CA 90265-3953 | |
| (310) 579-6063 | |
| Not Available |
| Full Name | Malibu Outpatient Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 28955 Pacific Coast Hwy, Malibu, California |
| Authorized Official Name and Position | Evan Haines (CEO) |
| Authorized Official Contact | 3105796063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malibu Outpatient Inc 30765 Pacific Coast Hwy Ste 135 Malibu CA 90265-3646 Ph: () - | Malibu Outpatient Inc 28955 Pacific Coast Hwy Ste 210 Malibu CA 90265-3953 Ph: (310) 579-6063 |
| NPI Number | 1225587629 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225587629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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