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CORRAL CANYON RECOVERY,LLC
NPI 1700634730
Substance Abuse Rehabilitation Facility in Malibu, CA

Active since May 06, 2024CLIA 05D2343058 · Waiver
1752 CORRAL CANYON RD, MALIBU, CA 90265(714) 813-8116(818) 301-2519 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Corral Canyon Recovery,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORRAL CANYON RECOVERY,LLC (NPI 1700634730), doing business as First Responders Recovery Malibu, is a healthcare organization registered as a substance abuse rehabilitation facility in Malibu, California and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Janaine Goncalves, Coo, as its authorized official.

NPPES Registry Identity

NPI1700634730
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCORRAL CANYON RECOVERY,LLC
Location Address1752 CORRAL CANYON RDMalibu, CA 90265-2906
Mailing Address4607 Lakeview Canyon Rd # 300Westlake Village, CA 91361-4028 · (714) 813-8116 · Fax (818) 301-2519
Phone(714) 813-8116
Fax(818) 301-2519
Organization SubpartNo
Authorized OfficialJanaine GoncalvesCoo · (714) 813-8116
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1700634730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1752 CORRAL CANYON RD, Malibu, CA 90265
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Other Names 1

Doing Business AsFirst Responders Recovery Malibu

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2343058

Corral Canyon Recovery LLC · Malibu, CA
Active · expires Apr 29, 2028
CLIA Number05D2343058
Laboratory TypeAlcohol And Drug Treatmen
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorLisa Benya
Laboratory Phone(310) 663-8869
Laboratory LocationCorral Canyon Recovery LLC1752 Corral Canyon Rd, Malibu, CA 90265
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALIBU BEACH RECOVERY CENTER, LLC
Substance Abuse Rehabilitation Facility
1752 CORRAL CANYON RD
MALIBU, CA 90265
Los Angeles County (310) 456-2026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corral Canyon Recovery,llc's NPI number?

The NPI number for Corral Canyon Recovery,llc is 1700634730. It was assigned to this organization in the NPPES registry on May 6, 2024. The provider is doing business as First Responders Recovery Malibu.

Where is Corral Canyon Recovery,llc located?

Corral Canyon Recovery,llc is located at 1752 Corral Canyon Rd, Malibu, CA 90265. The listed phone number is (714) 813-8116.

What is Corral Canyon Recovery,llc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Corral Canyon Recovery,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2343058) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Corral Canyon Recovery,llc was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.