Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Western Pacific Re-Hab

Organization Methadone Clinic · NPI 1205275195

Western Pacific Re-Hab is a Methadone Clinic in Norwalk, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

11902 Rosecrans Ave Ste A&d
Norwalk, CA 90650-4197
Phone: (562) 929-7188
Fax: (562) 929-7575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence 19-124 (CA)

Record details

NPI number1205275195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Hickman — Ceo · (818) 956-3737
NPI enumeratedJune 24, 2013
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020
Mailing address4544 San Fernando Rd, Suite 202, Glendale, CA 91204-1987

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