OLA WELLNESS RETREAT, LLC (NPI# 1336752963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336752963 |
| Entity Type | Organization |
| Organization Name | OLA WELLNESS RETREAT, LLC |
| Practice Address |
26924 Pacific Coast Hwy Malibu CA 90265-4356 |
| Mailing Address |
30765 Pacific Coast Hwy Ste 135 Malibu CA 90265-3643 |
| Practice Telephone | 8885950235 |
| Mailing Telephone | 3105795192 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | EVAN HAINES (CEO) |
| Authorized Official Telephone | 3109755344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 1053973230 | Ola Wellness Retreat, LLC | Substance Abuse Rehabilitation Facility | 1752 Corral Canyon Rd, Malibu, CA 90265-2906 | 2019-07-08 |
| Street Address |
26924 PACIFIC COAST HWY |
| City | MALIBU |
| State | CA |
| Zip Code | 90265-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1912518887 | Oconnor Optometric Inc | Optometrist | 23401 Civic Center Way, Unit 2b, Malibu, CA 90265 | 2020-08-13 |
| 1184234593 | Jessica Gash | Student in an Organized Health Care Education/Training Program | 24420 Tiner Court, Malibu, CA 90265 | 2020-07-31 |
| 1902438393 | Montage Recovery Ca, LLC | Clinic/Center | 2890 Kanan Dume Road, Malibu, CA 90265 | 2020-02-04 |
| 1164909032 | Joseph Turcillo | Internal Medicine | 3065 Malibu Country Dr, Malibu, CA 90265 | 2018-07-24 |
| 1356830657 | Samantha Erin Schlossmann | Clinical Neuropsychologist | 28348 Rey De Copas Lane, Malibu, CA 90265 | 2018-05-02 |
| 1740783653 | Adam Dov Greenberg | Acupuncturist | 5853 Filaree Hts., Malibu, CA 90265 | 2018-03-16 |
| 1225556673 | Jeff Harris, M.d. A Medical Corporation | Pediatrics | 23805 Stuart Ranch Rd. #310, Malibu, CA 90265 | 2017-09-06 |
| 1184177347 | Michael J. Maguire Acupuncturist, Inc. | Acupuncturist | 28990 PCh, Building B Ste 211, Malibu, CA 90265 | 2016-07-25 |
| 1093182198 | Recovery Malibu, Inc. | Substance Abuse Rehabilitation Facility | 20723 Rockcroft Dr., Malibu, CA 90265 | 2015-08-25 |
| Find all providers in zip 90265 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 1073169801 | Telehealth Innovation | Clinic/Center | 22741 Pacific Coast Hwy Ste 220, Malibu, CA 90265-5097 | 2019-08-16 |
| 1336614296 | Pacific Teen Treatment LLC | Clinic/Center | 29053 Pacific Coast Hwy, Malibu, CA 90265-3948 | 2018-10-08 |
| 1205202926 | Acadia Malibu, Inc. | Clinic/Center | 28955 Pacific Coast Hwy Ste 210, Malibu, CA 90265-3930 | 2015-08-17 |
| 1184020398 | Acadia Malibu, Inc. | Clinic/Center | 28955 Pacific Coast Highway # 200, Malibu, CA 90265 | 2014-11-16 |
| 1164826210 | Cliffside Malibu Outpatient Services | Clinic/Center | 29160 Heathercliff Rd., Ste. 100, Malibu, CA 90265 | 2014-10-17 |
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| 1386269660 | Heartwood House LLC | Clinic/Center | 8 Circle Rd, San Rafael, CA 94903-3821 | 2020-06-11 |
| 1740803212 | Sierra County Drug and Alcohol | Clinic/Center | 22 Maiden Ln, Downieville, CA 95936 | 2020-05-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.