Monte Nido Lake Vista, LLC
Monte Nido Lake Vista, LLC is an Adolescent and Children Mental Health Clinic/Center in Agoura Hills, California. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
29470 Lake Vista DrAgoura Hills, CA 91301-2818
Phone: (747) 212-5021
Fax: (818) 575-7327
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|
Record details
| NPI number | 1780105551 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Monte Nido Lake Vista, LLC |
| Authorized official | Mike Bagley — Chief Financial Officer · (305) 663-1876 |
| Other names | Clementine Malibu Lake; Clementine Malibu Lake |
| NPI enumerated | July 3, 2017 |
| Last updated in NPPES | May 27, 2020 |
| Certification date | May 27, 2020 |
| Mailing address | 6100 Sw 76th St, South Miami, FL 33143-5002 |
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