Healthcare Provider Details

I. General information

NPI: 1174442248
Provider Name (Legal Business Name): SYDNEY STRABALA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31450 BROAD BEACH RD
MALIBU CA
90265-2669
US

IV. Provider business mailing address

2302 LATIGO ROAD
MALIBU CA
90265
US

V. Phone/Fax

Practice location:
  • Phone: 310-448-1413
  • Fax:
Mailing address:
  • Phone: 714-343-7360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: