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Organization

RECOVERY MALIBU, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization

Contact information

Practice address
20723 ROCKCROFT DR., MALIBU, CA 90265
(424) 388-1241
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190075AP
CA
324500000X
Substance Abuse Rehabilitation Facility
190859AP
CA

Other

Enumeration date
08/25/2015
Last updated
01/02/2024
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