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Western Pacific Med-corp
Methadone Clinic in Fullerton, California
NPI 1750423620

Western Pacific Med-corp is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Med-corp practices in Fullerton, CA. The NPI Number for Western Pacific Med-corp is 1750423620 and holds a License No. 30-11 (California).

The current practice location address for Western Pacific Med-corp is 218 E Commonwealth Ave, Fullerton, CA and can be reached out via phone at 818-956-3737.

Location: 218 E Commonwealth Ave, Fullerton, CA, 91204-1987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750423620
Provider Name
Western Pacific Med-corp
Credential
Provider Entity Type
Organization
Address
218 E Commonwealth Ave, Fullerton, 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
CMM70208F 01 CA MEDICAL PROVIDER
3099 01 CA DRUG MEDICAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
218 E Commonwealth Ave
City
Fullerton
State
California
Zip
92832-1911
Phone Number
818-956-3737
Fax Number
person
Provider Business Mailing Address Details
Address
218 E Commonwealth Ave
City
Fullerton
State
California
Zip
92832-1911
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.
30-11 (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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