Provider Demographics
NPI:1255092771
Name:MARGULIES, ARTHUR JAY (JD, CADC-I)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:JAY
Last Name:MARGULIES
Suffix:
Gender:M
Credentials:JD, CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29500 HEATHERCLIFF RD SPC 145
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-6145
Mailing Address - Country:US
Mailing Address - Phone:646-522-4071
Mailing Address - Fax:
Practice Address - Street 1:31454 BROAD BEACH RD
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-2669
Practice Address - Country:US
Practice Address - Phone:646-522-4071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACI30810920101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)