institution
Western Pacific Med-corp
Methadone Clinic in Reseda, California
NPI 1669514527

Western Pacific Med-corp is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Med-corp practices in Reseda, CA. The NPI Number for Western Pacific Med-corp is 1669514527 and holds a License No. 19-060 (California).

The current practice location address for Western Pacific Med-corp is 7232 Canby Ave, Reseda, CA and can be reached out via phone at 818-956-3737.

Location: 7232 Canby Ave, Reseda, CA, 91204-1987
institution
Provider Profile Details
NPI Number
1669514527
Provider Name
Western Pacific Med-corp
Credential
Provider Entity Type
Organization
Address
7232 Canby Ave, Reseda, 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
1948 01 CA DRUG MEDICAL PROVIDER
CMM70047 01 CA MEDICAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
7232 Canby Ave
City
State
Zip
91335-3006
Phone Number
818-956-3737
Fax Number
person
Provider Business Mailing Address Details
Address
7232 Canby Ave
City
State
Zip
91335-3006
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.
19-060 (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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