Telehealth Innovation

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TELEHEALTH INNOVATION

Practice address

22741 Pacific Coast Hwy Ste 220
Malibu, CA 90265-5097

Phone

(310) 341-0188

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Benya, DO

Title

President

Phone

(310) 456-1603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1073169801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22741 PACIFIC COAST HWY STE 220",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22741 PACIFIC COAST HWY STE 220",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655097",
            "telephone_number": "310-341-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHEALTH INNOVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "BENYA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-456-1603",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samina Habib Taha, M.D.
• Sharon Ann Talovic, PH.D.
• Corie Tappin, L.AC.
• Alanna Eileen Tarkington, MFT
• Tcsrzs Holdings LLC
• Claudia Tellier, MD
• The Canyon at Peace Park, LLC
• The Emergency Group, Inc
• The Regents of the University of California
• Annabel Thomson, PSYD, LMFT, ATR

• Substance Use Disorder Rehabilitation Clinic/Center in Malibu, CA
• Providers in Malibu, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.