Organization Active NPI

Malibu Detox, LLC.

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1164184107
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MALIBU DETOX, LLC.
Practice address
7214 Birdview Ave
Malibu, CA 90265-4111
Phone
(310) 956-4692
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Robby S Stempler
Title
Ceo
Phone
(310) 595-5578

Specialties & licenses 1

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

Addresses

Primary practice location

7214 Birdview Ave
Malibu, CA 90265-4111

Mailing address

22766 Saddle Peak Rd
Topanga, CA 90290-3470
Phone (310) 956-4692

National Provider Directory

National Provider Directory
Tax ID family
Malibu Detox 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.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1164184107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22766 SADDLE PEAK RD",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "902903470",
            "telephone_number": "310-956-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 BIRDVIEW AVE",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654111",
            "telephone_number": "310-956-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU DETOX, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "STEMPLER",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-595-5578"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 7, 2021; 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.