Bella la Vita Company

Organization Active NPI Substance Abuse Rehabilitation Facility · Malibu, CA

NPI 1972807402 · NPPES record last updated Dec 23, 2010

Key facts

NPI
1972807402
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
License
190688AP (CA)
Legal business name
BELLA LA VITA COMPANY
Practice address
22516 Carbon Mesa Rd
Malibu, CA 90265-5019
Phone
(310) 456-2551
NPI assigned
Dec 23, 2010
Organization subpart
No

Authorized official

Name
Dr. Peggy J Locke, D.C.
Title
Claims Administrator
Phone
(805) 648-2570

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190688AP CA Yes

Addresses

Primary practice location

22516 Carbon Mesa Rd
Malibu, CA 90265-5019

Mailing address

22516 Carbon Mesa Rd
Malibu, CA 90265-5019
Phone (310) 456-2551

Other names

  • Journey Malibu Doing business as

Other providers in Malibu, CA

All providers in Malibu, CA · Substance Abuse Rehabilitation Facility in California

Sources for this page

Verify at the official NPI Registry.