Organization Active NPI

Infinity Malibu LLC

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1053700948
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
INFINITY MALIBU LLC
Practice address
27475 Winding Way
Malibu, CA 90265-4477
Phone
(818) 465-3988
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. George Boyadzhyan
Title
Owner
Phone
(626) 807-3729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CA Primary

Addresses

Primary practice location

27475 Winding Way
Malibu, CA 90265-4477

Mailing address

27475 Winding Way
Malibu, CA 90265-4477
Phone (818) 465-3988

Other names 1

  • INFINITY MALIBU Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1053700948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 WINDING WAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654477",
            "telephone_number": "818-465-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27475 WINDING WAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654477",
            "telephone_number": "818-465-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY MALIBU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "BOYADZHYAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-807-3729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INFINITY MALIBU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.