NPI 1124767611
Paradigm Malibu Cavalleri
Practice location
- Address
- 6316 Cavalleri Rd, Malibu, CA 90265-4018
- Phone
- (424) 666-2663
- Mailing address
- 12424 Wilshire Blvd STE 800, Los Angeles, CA 90025-1035
Authorised official
- Name
- Dustin Wagner
- Title
- Ceo
- Phone
- (310) 457-9008
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1124767611
- Entity type
- Organization
- NPI issued
- 2 Jun 2022
- Record last updated
- 26 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.