Malibu Seaside Serenity Cove, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MALIBU SEASIDE SERENITY COVE, INC.

Practice address

6134 Busch Dr
Malibu, CA 90265-3833

Phone

(310) 457-7919

NPI assigned

Sep 11, 2020

Organization subpart

No

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

Authorized official

Name

Frank Santangelo

Title

Cfo

Phone

(310) 346-0088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1114532660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 BUSCH DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653833",
            "telephone_number": "310-457-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 BUSCH DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653833",
            "telephone_number": "310-457-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU SEASIDE SERENITY COVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-346-0088"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malibu Medical Corp
• Malibu Medical Corporation
• Malibu Occupational & Speech Therapy
• Malibu Outpatient Inc
• Malibu Renewal Centre
• Malibu TMS
• Litos O. Mallare, M.D.
• Maribel Mancillas
• Arthur Jay Margulies, JD, CADC-I
• Marriage and Family Research Institute

• Substance Abuse Rehabilitation Facility in Malibu, CA
• Providers in Malibu, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.