Organization
MALIBU BEHAVIORAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIKA PANOVA BOHANNAN LMFT (CEO)
(714) 887-3816
Entity
Organization
Contact information
Practice address
16365 PICK PL, RIVERSIDE, CA 92504-5638
(714) 887-3816
(209) 203-1061
Mailing address
16365 PICK PL, RIVERSIDE, CA 92504-5638
(714) 887-3816
(209) 203-1061
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/21/2025
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