Organization
ACCESS MALIBU, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
5247 HORIZON DR, MALIBU, CA 90265-3735
(424) 235-6258
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190070AP
CA
Other
Enumeration date
05/04/2015
Last updated
01/02/2024
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