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Western Pacific Re-hab
Methadone Clinic in Fullerton, California
NPI 1922447812

Western Pacific Re-hab is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Re-hab practices in Fullerton, CA. The NPI Number for Western Pacific Re-hab is 1922447812 and holds a License No. 30-13 (California).

The current practice location address for Western Pacific Re-hab is 218 E Commonwealth Ave, Fullerton, CA and can be reached out via phone at 714-992-4770. You can also correspond with Western Pacific Re-hab through the mailing address at 4544 SAN FERNANDO RD, GLENDALE, CA - 91204-1987 (mailing address contact number: 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
1922447812
Provider Name
Western Pacific Re-hab
Credential
Provider Entity Type
Organization
Address
218 E Commonwealth Ave, Fullerton, CA, 91204-1987
Phone Number
714-992-4770
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
3099 01 CA CALIFORNIA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
218 E Commonwealth Ave
City
Fullerton
State
California
Zip
92832-1911
Phone Number
714-992-4770
Fax Number
person
Provider Business Mailing Address Details
Address
218 E Commonwealth Ave
City
Fullerton
State
California
Zip
92832-1911
Phone Number
714-992-4770
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
30-13 (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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