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Western Pacific Med-corp
Methadone Clinic in Glendale, California
NPI 1235271180

Western Pacific Med-corp is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Med-corp practices in Glendale, CA. The NPI Number for Western Pacific Med-corp is 1235271180 and holds a License No. 19-012 (California).

The current practice location address for Western Pacific Med-corp is 4544 San Fernando Rd, Glendale, CA and can be reached out via phone at 818-240-8843.

Location: 4544 San Fernando Rd, Glendale, CA, 91204-1987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235271180
Provider Name
Western Pacific Med-corp
Credential
Provider Entity Type
Organization
Address
4544 San Fernando Rd, Glendale, CA, 91204-1987
Phone Number
818-240-8843
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
1949 01 CA DRUG MEDICAL PROVIDER
CMM70045F 01 CA MEDICAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
4544 San Fernando Rd
City
Glendale
State
California
Zip
91204-1987
Phone Number
818-240-8843
Fax Number
person
Provider Business Mailing Address Details
Address
4544 San Fernando Rd
City
Glendale
State
California
Zip
91204-1987
Phone Number
818-240-8843
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
19-012 (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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