Oceanside Malibu Treatment Center is an out of network benefit provider.

Most Insurance Accepted:

Please call 818-917-7239 or fill out the form on the website so our insurance department can verify your coverage and benefits with your insurance company.

Patient Name (required)

Phone (required)

Best time to contact?

Patient Email (required)

Patient Address:

Patient Date of Birth:

Insurance Information

Insurance Company Name :

Insurance Plan (PPO / HMO) :

Primary Card Holder:

Insurance ID #:

Group Number:

Address:

Phone (on card):

Any other information that you think might be of importance:

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Payment Options and Insurance Accepted

Monthly  payments can be made by:

Cash/Check

Wire Transfer

Visa

Master Card