Avalon By The Sea, INC
Substance Abuse Rehabilitation Facility in Malibu, CA. Organization (NPI-2).
NPI number1669727855
StatusActive
Last updated in NPPESMar 16, 2016
Details
- NPI
- 1669727855
- Entity type
- Organization (NPI-2)
- Legal business name
- Avalon By The Sea, INC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2012
- Last updated
- Mar 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
32420 Pacific Coast HwyMalibu, CA 90265-2531
Phone 310-457-9111
Mailing address
30765 Pacific Coast Hwy376
Malibu, CA 90265-3646
Authorized official
Valentin Gasparyan
Director Of Business Development
3104579111
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