Organization
BELLA LA VITA COMPANY
Active
Other names
Journey Malibu
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGY J LOCKE D.C. (CLAIMS ADMINISTRATOR)
(805) 648-2570
Entity
Organization
Contact information
Practice address
22516 CARBON MESA RD, MALIBU, CA 90265-5019
(310) 456-2551
Mailing address
22516 CARBON MESA RD, MALIBU, CA 90265-5019
(310) 456-2551
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190688AP
CA
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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