Organization
MALIBU MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M BENYA D.O. (OWNER)
(310) 456-1603
Entity
Organization
Contact information
Practice address
23661 PACIFIC COAST HWY, MALIBU, CA 90265-4825
(310) 456-1603
(310) 456-5697
Mailing address
23661 PACIFIC COAST HWY, MALIBU, CA 90265-4825
(310) 456-1603
(310) 456-5697
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
20A7615
CA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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