Organization
AVALON BY THE SEA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTIN GASPARYAN (DIRECTOR OF BUSINESS DEVELOPMENT)
(310) 457-9111
Entity
Organization
Contact information
Practice address
32420 PACIFIC COAST HWY, MALIBU, CA 90265-2531
(310) 457-9111
Mailing address
30765 PACIFIC COAST HWY, 376, MALIBU, CA 90265-3646
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
03/16/2016
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