institution
Western Pacific Med-corp
Methadone Clinic in North Hollywood, California
NPI 1124160080

Western Pacific Med-corp is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Med-corp practices in North Hollywood, CA. The NPI Number for Western Pacific Med-corp is 1124160080 and holds a License No. 19-139 (California).

The current practice location address for Western Pacific Med-corp is 4838 Laurel Canyon Blvd, North Hollywood, CA and can be reached out via phone at 818-956-3737.

Location: 4838 Laurel Canyon Blvd, North Hollywood, CA, 91204-1987
institution
Provider Profile Details
NPI Number
1124160080
Provider Name
Western Pacific Med-corp
Credential
Provider Entity Type
Organization
Address
4838 Laurel Canyon Blvd, North Hollywood, CA, 91204-1987
Phone Number
818-956-3737
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902 01 CA DRUG MEDICAL PROVIDER
HDC70063F 01 CA MEDICAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
4838 Laurel Canyon Blvd
City
State
Zip
91607-3717
Phone Number
818-956-3737
Fax Number
person
Provider Business Mailing Address Details
Address
4838 Laurel Canyon Blvd
City
State
Zip
91607-3717
Phone Number
818-956-3737
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
19-139 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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