| Soar | |
|
22814 Pacific Coast Hwy Malibu CA 90265-5041 | |
| (310) 310-7740 | |
| Not Available |
| Full Name | Soar |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22814 Pacific Coast Hwy, Malibu, California |
| Authorized Official Name and Position | Gregory Paul Hannley (OWNER) |
| Authorized Official Contact | 3109242053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar 22669 Pacific Coast Hwy Malibu CA 90265-5036 Ph: (310) 774-0904 | Soar 22814 Pacific Coast Hwy Malibu CA 90265-5041 Ph: (310) 310-7740 |
| NPI Number | 1477983393 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 11/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477983393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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