Organization
EDWARDS MALIBU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BLAIR ELDER (REVENUE CYCLE ADMINISTRATOR)
(737) 247-1223
Entity
Organization
Contact information
Practice address
23410 CIVIC CENTER WAY STE E7, MALIBU, CA 90265-5917
(970) 693-0015
Mailing address
23410 CIVIC CENTER WAY STE E7, MALIBU, CA 90265-5917
(970) 693-0015
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
02/01/2024
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