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Western Pacific Med/corp
Methadone Clinic in Glendale, California
NPI 1720279441

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 1720279441 and holds a License No. (California).

The current practice location address for Western Pacific Med/corp is 4632 San Fernando Rd, Glendale, CA and can be reached out via phone at 818-956-3737 and via fax at 818-543-6767.

Location: 4632 San Fernando Rd, Glendale, CA, 91204-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720279441
Provider Name
Western Pacific Med/corp
Credential
Provider Entity Type
Organization
Address
4632 San Fernando Rd, Glendale, CA, 91204-1822
Phone Number
818-956-3737
Fax Number
818-543-6767
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HDC70063F 05 CA
CMM70074F 05 CA
HDC70023F 05 CA
HDC70061F 05 CA
CMM70045F 05 CA
CMM70054F 05 CA
CMM70208F 05 CA
HDC70062F 05 CA
CMM70047F 05 CA
HDC70028F 05 CA
institution
Provider Business Practice Location Address Details
Address
4632 San Fernando Rd
City
Glendale
State
California
Zip
91204-1822
Phone Number
818-956-3737
Fax Number
818-543-6767
person
Provider Business Mailing Address Details
Address
4632 San Fernando Rd
City
Glendale
State
California
Zip
91204-1822
Phone Number
818-956-3737
Fax Number
818-543-6767
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
(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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