CLIFFSIDE MALIBU 3 – NPI #1629461223
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIFFSIDE MALIBU 3 is a substance abuse rehabilitation facility located in MALIBU, CA. NPPES has assigned the NPI number 1629461223 to CLIFFSIDE MALIBU 3 on March 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 7 years ago on Mar 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLIFFSIDE MALIBU 3 below.

NPI Profile for
CLIFFSIDE MALIBU 3

NPI Number
1629461223
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLIFFSIDE MALIBU 3
Primary location
20725 ROCKCROFT DR.
MALIBU, CA 90265
Phone: (424) 781-9961 Fax: (424) 781-9961
Mailing address
29160 HEATHERCLIFF RD., STE. 200
MALIBU, CA 90265
Phone: (424) 217-1052 Fax: (424) 217-1052
Organization Subpart
No
Authorized Official
KELLY STEPHENSON
CHIEF EXECUTIVE OFFICER
Phone: (310) 579-1004
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
CA 190836AP

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.