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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIELLE DEROSA

Active Sole Proprietor

DANIELLE DEROSA is a Substance Abuse Rehabilitation Facility healthcare provider located in MALIBU, California. NPI 1538582614 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · MALIBU, CA

Registration Details

NPI Number
1538582614
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2014 (12.541035875938 yrs)
Last Updated
Jan 27, 2014
License
KK 455612 (CA)
Sole Proprietor
Yes

Practice Information

Address
32420 PACIFIC COAST HWY
MALIBU, CA, 90265
Browse CA providers · Browse ZIP 90265
Phone
3109556111
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in MALIBU, CA

Name Credential NPI
JARED VALENTINE 1649607458
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.