Cliffside Malibu II
Organization Active NPI Substance Abuse Rehabilitation Facility · Malibu, CA
NPI 1881904035 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1881904035
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 190073AP (CA)
- Legal business name
- CLIFFSIDE MALIBU II
- Practice address
- 5853 Busch Drive
Malibu, CA 90265 - Phone
- (424) 781-4723
- NPI assigned
- Oct 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Magdalen Gustilo
- Title
- Director of Payer Relations
- Phone
- (714) 568-7667
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 190658AP | CA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 190073AP | CA | Yes |
Addresses
Primary practice location
5853 Busch Drive
Malibu, CA 90265
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Phone (714) 828-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190658AP | Other | CA | ADP LICENSE |
Other providers in Malibu, CA
- Taber Lung Chinn
- Jessica Rae Clark
- Cliffside Malibu
- Cliffside Malibu 1
- Cliffside Malibu 3
- Cliffside Malibu Outpatient Services
- Harry G. Cohen
- Colony Care Partners
- Meg Conboy
- Conscientia Recovery Center
All providers in Malibu, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.