Western Pacific MED/CORP
Western Pacific MED/CORP is a Methadone Clinic in Glendale, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
4632 San Fernando RdGlendale, CA 91204-1822
Phone: (818) 956-3737
Fax: (818) 543-6767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Methadone Clinic (primary) | Taxonomy 261QM2800X (CA) |
|---|
Record details
| NPI number | 1720279441 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Hickman — Ceo · (818) 956-3737 |
| NPI enumerated | August 7, 2007 |
| Last updated in NPPES | September 5, 2007 |
| Mailing address | 4632 San Fernando Rd, Glendale, CA 91204-1822 |
Other providers in Glendale
-
Western Pacific Med-Corp
4544 San Fernando Rd Ste 201, Glendale, CA 91204-1987 · (818) 240-8843
-
Western Pacific Re-Hab
4544 San Fernando Rd Ste 201, Glendale, CA 91204-1987 · (818) 240-8843