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Western Pacific Med-corp
Methadone Clinic in Van Nuys, California
NPI 1235272196

Western Pacific Med-corp is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Med-corp practices in Van Nuys, CA. The NPI Number for Western Pacific Med-corp is 1235272196 and holds a License No. 19-138 (California).

The current practice location address for Western Pacific Med-corp is 14332 Victory Blvd, Van Nuys, CA and can be reached out via phone at 818-956-3737.

Location: 14332 Victory Blvd, Van Nuys, CA, 91204-1987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235272196
Provider Name
Western Pacific Med-corp
Credential
Provider Entity Type
Organization
Address
14332 Victory Blvd, Van Nuys, CA, 91204-1987
Phone Number
818-956-3737
Fax Number
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HDC70061F 01 CA MEDICAL PROVIDER
6805 01 CA DRUG MEDICAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
14332 Victory Blvd
City
Van Nuys
State
California
Zip
91401-1944
Phone Number
818-956-3737
Fax Number
person
Provider Business Mailing Address Details
Address
14332 Victory Blvd
City
Van Nuys
State
California
Zip
91401-1944
Phone Number
818-956-3737
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
19-138 (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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