Western Pacific Re-Hab
Western Pacific Re-Hab is a Methadone Clinic in Glendale, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
4544 San Fernando Rd Ste 201Glendale, CA 91204-1987
Phone: (818) 240-8843
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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 19-125 (CA) |
|---|
Record details
| NPI number | 1770922650 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Hickman — Ceo · (818) 956-3737 |
| NPI enumerated | June 24, 2013 |
| Last updated in NPPES | January 23, 2020 |
| Certification date | January 23, 2020 |
| Mailing address | 4544 San Fernando Rd, Suite 202, Glendale, CA 91204-1987 |
Other providers in Glendale
-
Western Pacific Med-Corp
4544 San Fernando Rd Ste 201, Glendale, CA 91204-1987 · (818) 240-8843
-
Western Pacific MED/CORP
4632 San Fernando Rd, Glendale, CA 91204-1822 · (818) 956-3737