NPI 1417556564

Paradigm Malibu Escondido

Organisation Psychiatric Residential Treatment Facility Malibu, CA

Practice location

Address: 6323 Via Escondido Dr, Malibu, CA 90265-4484
Phone: (310) 826-2587
Fax: (310) 457-6318
Mailing address: 12424 Wilshire Blvd STE 800, Los Angeles, CA 90025-1035

Authorised official

Name: Dustin Wagner
Title: Ceo
Phone: (310) 457-6300

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in California →

Registry record

NPI: 1417556564
Entity type: Organization
NPI issued: 20 Oct 2020
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.