Oceanside Transitional Living in Malibu

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

OCEANSIDE TRANSITIONAL LIVING IN MALIBU

Practice address

21022 Pacific Coast Hwy
Malibu, CA 90265-5242

Phone

(310) 456-3355

Fax

(310) 456-3305

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

David Johnson

Title

Director

Phone

(818) 917-7239

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1457630741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21022 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655242",
            "telephone_number": "310-456-3355",
            "fax_number": "310-456-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21022 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655242",
            "telephone_number": "310-456-3355",
            "fax_number": "310-456-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE TRANSITIONAL LIVING IN MALIBU",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-917-7239"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Elizabeth Nicholson, MD
• Beata A Nickel, MD, PHD
• David C Niebergall, DDS INC
• Gregory Michael O'Connor, O.D.
• Amanda Leigh O'Hare, PHARMD
• Jacqueline Rosaly Ochoa, M.A.
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• Ola Wellness Retreat, LLC

• 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 Aug 4, 2011; 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.