Paradigm Malibu Pch
Psychiatric Residential Treatment Facility in Malibu, CA. Organization (NPI-2).
NPI number1740987171
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1740987171
- Entity type
- Organization (NPI-2)
- Legal business name
- Paradigm Malibu Pch
- Organization subpart
- Yes
- Enumeration date
- Feb 15, 2023
- 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
27407 Pacific Coast HwyMalibu, CA 90265-4337
Phone 323-776-9898
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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