PB California Rehab and Recovery, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

PB CALIFORNIA REHAB AND RECOVERY, LLC

Practice address

20786 Cool Oak Way
Malibu, CA 90265-5318

Phone

(424) 235-2337

Fax

(310) 943-0438

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Benjamin Klein

Title

President

Phone

(847) 329-4100

Specialties & licenses 2

Addresses

Tax ID family

PB California Rehab and Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PB California Rehab and Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
  • NPI 1760953194
  NPD tax ID

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1053898445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LONG AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773214",
            "telephone_number": "847-329-4100",
            "fax_number": "847-329-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20786 COOL OAK WAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655318",
            "telephone_number": "424-235-2337",
            "fax_number": "310-943-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB CALIFORNIA REHAB AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-329-4100"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas S Park, RPH
• Bruce Alan Parker, DC
• Anjana Patel
• Pathway Diagnostics, Inc.
• Christine Danielle Patrikian, MT-BC, NMT
• PB California Rehab and Recovery, LLC
• Ashley Peak
• Brooke Danielle Pechman, LMFT
• Pepperdine University
• Pepperdine University

• Psychiatric Residential Treatment Facility in Malibu, CA
• Providers in Malibu, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.