| Edwards Malibu | |
|
23410 Civic Center Way Ste E7 Malibu CA 90265-5917 | |
| (970) 693-0015 | |
| Not Available |
| Full Name | Edwards Malibu |
|---|---|
| Speciality | Clinic/Center |
| Location | 23410 Civic Center Way Ste E7, Malibu, California |
| Authorized Official Name and Position | Ashley Blair Elder (REVENUE CYCLE ADMINISTRATOR) |
| Authorized Official Contact | 7372471223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Malibu 23410 Civic Center Way Ste E7 Malibu CA 90265-5917 Ph: (970) 693-0015 | Edwards Malibu 23410 Civic Center Way Ste E7 Malibu CA 90265-5917 Ph: (970) 693-0015 |
| NPI Number | 1093438384 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 8527438944 |
|---|---|
| Medicare Enrollment ID | O20221229002290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093438384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | David A Sack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467657882 PECOS PAC ID: 8628478252 Enrollment ID: I20210617002742 |
| Provider Name | Olajumoke Adeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114323755 PECOS PAC ID: 9931578275 Enrollment ID: I20221208002683 |
| Provider Name | Kathleen Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568781698 PECOS PAC ID: 0042533952 Enrollment ID: I20230106001541 |
| Provider Name | John Kubai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740752062 PECOS PAC ID: 6305288523 Enrollment ID: I20240520002789 |
Pepperdine University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24255 Pacific Coast Hwy, Malibu, CA 90263 Phone: 310-506-4316 | |
Cure Concierge Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22741 Pacific Coast Hwy Ste 220, Malibu, CA 90265 Phone: 310-317-9111 Fax: 310-919-0306 | |
Apn Connection, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23410 Civic Center Way Ste E5, Malibu, CA 90265 Phone: 855-934-1178 | |
Jeff Harris, M.d. A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23805 Stuart Ranch Rd. #310, Malibu, CA 90265 Phone: 714-389-7420 Fax: 310-456-9772 | |
Victor S Dorodny Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30765 Pacific Coast Hwy Ste 285, Malibu, CA 90265 Phone: 182-836-7636 | |
M T Rezai Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27154 Sea Vista Dr, Malibu, CA 90265 Phone: 818-458-0917 |