Socal Recovery Centers, Inc.
NPI 1124456777 · Substance Abuse Rehabilitation Facility · Malibu, CA
Socal Recovery Centers, Inc. is a Substance Abuse Rehabilitation Facility organization in Malibu, CA (NPI 1124456777).
Provider details
- NPI number
- 1124456777
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jack Green, Owner(310) 699-7482
- License
- 190787AP (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Malibu Life Recovery Center
Registry dates
- Enumerated
- 2013-10-17
- Last updated
- 2013-10-21
Frequently asked questions
- What is Socal Recovery Centers, Inc.'s NPI number?
- Socal Recovery Centers, Inc.'s National Provider Identifier (NPI) is 1124456777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Socal Recovery Centers, Inc.?
- Socal Recovery Centers, Inc. is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Socal Recovery Centers, Inc. located?
- Socal Recovery Centers, Inc.'s practice location on file with NPPES is 6315 Bonsall Dr, Malibu, CA 90265-3827.
- What is Socal Recovery Centers, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Socal Recovery Centers, Inc. is (310) 699-7482.
- Who is the authorized official for Socal Recovery Centers, Inc.?
- The authorized official listed on Socal Recovery Centers, Inc.'s NPPES record is Jack Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Socal Recovery Centers, Inc.'s NPI active?
- Yes — Socal Recovery Centers, Inc.'s NPI (1124456777) is active in the NPPES registry as of the last update on 2013-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.