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institution
Western Pacific Med-corp
Methadone Clinic in Stanton, California
NPI 1942342811

Western Pacific Med-corp is a Methadone Clinic based in Glendale, CA and is specialized in Methadone. Western Pacific Med-corp practices in Stanton, CA. The NPI Number for Western Pacific Med-corp is 1942342811 and holds a License No. 30-10 (California).

The current practice location address for Western Pacific Med-corp is 10751 Dale Ave, Stanton, CA and can be reached out via phone at 818-956-3737.

Location: 10751 Dale Ave, Stanton, CA, 91204-1987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942342811
Provider Name
Western Pacific Med-corp
Credential
Provider Entity Type
Organization
Address
10751 Dale Ave, Stanton, 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
CMM70074F 01 CA MEDICAL PROVIDER
3098 01 CA DRUG MEDICAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
10751 Dale Ave
City
Stanton
State
California
Zip
90680-2604
Phone Number
818-956-3737
Fax Number
person
Provider Business Mailing Address Details
Address
10751 Dale Ave
City
Stanton
State
California
Zip
90680-2604
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.
30-10 (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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