OLA WELLNESS RETREAT, LLC


Address: 26926 Pacific Coast Hwy, Malibu, CA 90265-4358
Phone: 3105795192

OLA WELLNESS RETREAT, LLC (NPI# 1942814793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942814793
Entity Type Organization
Organization Name OLA WELLNESS RETREAT, LLC
Practice Address 26926 Pacific Coast Hwy
Malibu
CA 90265-4358
Mailing Address 30765 Pacific Coast Hwy Ste 135
Malibu
CA 90265-3643
Practice Telephone 3105795192
Mailing Telephone 3105795192
Enumeration Date 2020-08-31
Last Update Date 2020-08-31
Authorized Official Name JARED VALENTINE (CFO)
Authorized Official Telephone 3105795192
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336752963 Ola Wellness Retreat, LLC Clinic/Center 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 2020-08-24
1053973230 Ola Wellness Retreat, LLC Substance Abuse Rehabilitation Facility 1752 Corral Canyon Rd, Malibu, CA 90265-2906 2019-07-08

Office Location

Street Address 26926 PACIFIC COAST HWY
City MALIBU
State CA
Zip Code 90265-4358

Providers in the same zip code

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336752963 Ola Wellness Retreat, LLC Clinic/Center 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 2020-08-24
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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Competitor

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City MALIBU
Zip Code 90265

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Dataset Information

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.

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