Paradigm Malibu Cavalleri
Psychiatric Residential Treatment Facility in Malibu, CA. Organization (NPI-2).
NPI number1124767611
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1124767611
- Entity type
- Organization (NPI-2)
- Legal business name
- Paradigm Malibu Cavalleri
- Organization subpart
- Yes
- Enumeration date
- Jun 2, 2022
- Certification date
- Oct 26, 2023
- Last updated
- Oct 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
Practice location
6316 Cavalleri RdMalibu, CA 90265-4018
Phone 424-666-2663
Mailing address
12424 Wilshire Blvd Ste 800Los Angeles, CA 90025-1035
Phone 310-457-9008
Authorized official
Dustin Wagner
Ceo
3104579008
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