Western Pacific Med-Corp in North Hollywood - Methadone
Western Pacific Med-Corp - NPI 1124160080
Western Pacific Med-Corp is a Methadone in North Hollywood, California. Western Pacific Med-Corp practices all healthcare services and medical treatments related to Methadone. The NPI Number for Western Pacific Med-Corp is 1124160080. The last update date is 2020-02-06.
Western Pacific Med-Corp's current location address is 4838 Laurel Canyon Blvd, North Hollywood, California. You can contact this provider via phone number 8189563737. The mailing address for Western Pacific Med-Corp is 4838 Laurel Canyon Blvd, North Hollywood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Pacific Med-Corp |
|---|---|
| Address | 4838 Laurel Canyon Blvd, North Hollywood, California |
| Phone Number | 8189563737 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Hickman Mark |
| Telephone Number | 8189563737 |
NPI Number Detail
| NPI Number | 1124160080 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2020-02-06 |
Provider Mailing Address Detail
| Address | 4838 Laurel Canyon Blvd |
|---|---|
| City | North Hollywood |
| State | California (CA) |
| Post Code | 916073717 |
| Phone Number | 8189563737 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 19-139 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1902 | CA | DRUG MEDICAL PROVIDER | |
| HDC70063F | CA | MEDICAL PROVIDER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Western Pacific Med-Corp?
The Western Pacific Med-Corp has been issued the NPI (National Provider Identifier) 1124160080 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Western Pacific Med-Corp's physical address?
The Western Pacific Med-Corp is physically located at 4838 Laurel Canyon Blvd, in the city of North Hollywood, CA, with the postal code 916073717.
What is Western Pacific Med-Corp's area of expertise and its corresponding taxonomy classification?
The Western Pacific Med-Corp's field of specialization is Methadone, and it falls under the taxonomy code 261Qm2800X, which categorizes healthcare providers based on their areas of practice.
When did the Western Pacific Med-Corp receive its 1124160080?
The Western Pacific Med-Corp was issued its 1124160080 on 2007-02-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Western Pacific Med-Corp most recently updated?
The details pertaining to the Western Pacific Med-Corp, including its address, specialty, and other relevant information, were last refreshed on 2020-02-06.