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

Organization Methadone Clinic · NPI 1578902466

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

Licensed in
CA
In the registry since
2013
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Practice location Address checks out

275 Victoria St Ste 1H
Costa Mesa, CA 92627
Phone: (949) 629-2862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence 30-12 (CA)

Record details

NPI number1578902466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Hickman — Ceo · (818) 956-3737
NPI enumeratedJune 24, 2013
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address4544 San Fernando Rd, Suite 202, Glendale, CA 91204-1987