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Western Pacific Re-hab
Methadone Clinic in Costa Mesa, California
NPI 1578902466

Western Pacific Re-hab is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Re-hab practices in Costa Mesa, CA. The NPI Number for Western Pacific Re-hab is 1578902466 and holds a License No. 30-12 (California).

The current practice location address for Western Pacific Re-hab is 275 Victoria St Ste 1H, Costa Mesa, CA and can be reached out via phone at 949-629-2862.

Location: 275 Victoria St Ste 1H, Costa Mesa, CA, 91204-1987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578902466
Provider Name
Western Pacific Re-hab
Credential
Provider Entity Type
Organization
Address
275 Victoria St Ste 1H, Costa Mesa, CA, 91204-1987
Phone Number
949-629-2862
Fax Number
Provider Enumeration Date
06/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3098 01 CA CALIFORNIA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
275 Victoria St Ste 1H
City
Costa Mesa
State
California
Zip
92627
Phone Number
949-629-2862
Fax Number
person
Provider Business Mailing Address Details
Address
275 Victoria St Ste 1H
City
Costa Mesa
State
California
Zip
92627
Phone Number
949-629-2862
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
30-12 (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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