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Western Pacific Re-hab
Methadone Clinic in Norwalk, California
NPI 1205275195

Western Pacific Re-hab is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Re-hab practices in Norwalk, CA. The NPI Number for Western Pacific Re-hab is 1205275195 and holds a License No. 19-124 (California).

The current practice location address for Western Pacific Re-hab is 11902 Rosecrans Ave Ste A&D, Norwalk, CA and can be reached out via phone at 562-929-7188 and via fax at 562-929-7575.

Location: 11902 Rosecrans Ave Ste A&D, Norwalk, CA, 91204-1987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205275195
Provider Name
Western Pacific Re-hab
Credential
Provider Entity Type
Organization
Address
11902 Rosecrans Ave Ste A&D, Norwalk, CA, 91204-1987
Phone Number
562-929-7188
Fax Number
562-929-7575
Provider Enumeration Date
06/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1968 01 CA CALIFORNIA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
11902 Rosecrans Ave Ste A&D
City
Norwalk
State
California
Zip
90650-4197
Phone Number
562-929-7188
Fax Number
562-929-7575
person
Provider Business Mailing Address Details
Address
11902 Rosecrans Ave Ste A&D
City
Norwalk
State
California
Zip
90650-4197
Phone Number
562-929-7188
Fax Number
562-929-7575
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
19-124 (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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