SOBA LIVING LLC (NPI# 1841643707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841643707 |
| Entity Type | Organization |
| Organization Name | SOBA LIVING LLC |
| Practice Address |
23440 Civic Center Way Suite 104 Malibu CA 90265-4854 |
| Mailing Address |
23440 Civic Center Way Suite 102 Malibu CA 90265-4854 |
| Practice Telephone | 3104575250 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | MICHELLE JOHNS (ACCOUNT EXECUTIVE) |
| Authorized Official Telephone | 3104572730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 05D2009305 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437385937 | Soba Living LLC | Substance Abuse Rehabilitation Facility | 22677 Pacific Coast Hwy, Malibu, CA 90265-5036 | 2009-06-10 |
| Street Address |
23440 CIVIC CENTER WAY SUITE 104 |
| City | MALIBU |
| State | CA |
| Zip Code | 90265-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437131 | Thomas R Hirsch | Dentist | 23440 Civic Center Way, Ste 206, Malibu, CA 90265-5907 | 2005-06-16 |
| 1679924831 | Lisa Mccullough | Marriage & Family Therapist | 23440 Civic Center Way, Malibu, CA 90265-4854 | 2016-06-28 |
| 1912372541 | Oleg Bouimer | Massage Therapist | 23440 Civic Center Way, Suite 202, Malibu, CA 90265-4854 | 2015-12-08 |
| 1881076438 | Corie Tappin L.ac Acupuncture & Traditional Chinese Medicine | Acupuncturist | 23440 Civic Center Way, Suite 202, Malibu, CA 90265-4854 | 2015-06-19 |
| 1386072445 | Corie Tappin | Acupuncturist | 23440 Civic Center Way, Suite 101, Malibu, CA 90265-4854 | 2013-10-28 |
| 1194958082 | Maugeri and Chinn, A Chiropractic Corporation | Chiropractor | 23440 Civic Center Way, Suite 204, Malibu, CA 90265-4854 | 2009-08-26 |
| 1346408663 | Ronald Charles Maugeri | Chiropractor | 23440 Civic Center Way, Suite 204, Malibu, CA 90265-4854 | 2008-05-23 |
| 1588861785 | Allan Val Pfeiffer | Dentist | 23440 Civic Center Way, Suite201, Malibu, CA 90265-4854 | 2007-06-29 |
| 1174697890 | Bridget Perrin Gardner | Acupuncturist | 23440 Civic Center Way, Suite 202, Malibu, CA 90265-4854 | 2006-11-17 |
| 1770522773 | Taber Lung Chinn | Chiropractor | 23440 Civic Center Way, Suite 204, Malibu, CA 90265-4854 | 2006-06-05 |
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| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1730356759 | Pathway Diagnostics, Inc. | Clinical Medical Laboratory | 3003 Malibu Canyon Rd, Malibu, CA 90265-4760 | 2008-05-08 |
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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.