Rancho Del Cielo Malibu

NPI #1619307451 in Malibu, California

Provider Information

NPI Number: 1619307451
Entity Type: Organization
Organization Name: Rancho Del Cielo Malibu
Primary Specialty: Clinic/Center
Enumeration Date: Nov 14, 2013
Last Updated: Nov 14, 2013

Practice Location

Address: 5591 DE BUTTS TER
City: Malibu
State: California
ZIP Code: 90265-1709
Phone: (310) 589-9398

Authorized Official

Name: MR. SPARKY GREENE
Title: CEO
Phone: (310) 344-5558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Corporate Health — Corporate Health	261QC1800X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center	261Q00000X	Primary

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