Organization
OCEANSIDE TRANSITIONAL LIVING IN MALIBU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHNSON (DIRECTOR)
(818) 917-7239
Entity
Organization
Contact information
Practice address
21022 PACIFIC COAST HWY, MALIBU, CA 90265-5242
(310) 456-3355
(310) 456-3305
Mailing address
21022 PACIFIC COAST HWY, MALIBU, CA 90265-5242
(310) 456-3355
(310) 456-3305
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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