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Western Pacific Re-hab
Methadone Clinic in Panorama City, California
NPI 1881033777

Western Pacific Re-hab is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Re-hab practices in Panorama City, CA. The NPI Number for Western Pacific Re-hab is 1881033777 and holds a License No. 19-121 (California).

The current practice location address for Western Pacific Re-hab is 9462 Van Nuys Blvd, Panorama City, CA and can be reached out via phone at 818-891-8555.

Location: 9462 Van Nuys Blvd, Panorama City, CA, 91204-1987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881033777
Provider Name
Western Pacific Re-hab
Credential
Provider Entity Type
Organization
Address
9462 Van Nuys Blvd, Panorama City, CA, 91204-1987
Phone Number
818-891-8555
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
7000 01 CA CALIFORNIA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
9462 Van Nuys Blvd
City
Panorama City
State
California
Zip
91402-1310
Phone Number
818-891-8555
Fax Number
person
Provider Business Mailing Address Details
Address
9462 Van Nuys Blvd
City
Panorama City
State
California
Zip
91402-1310
Phone Number
818-891-8555
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
19-121 (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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