Western Pacific Med-Corp in Glendale - Methadone
Western Pacific Med-Corp - NPI 1235271180
Western Pacific Med-Corp is a Methadone in Glendale, California. Western Pacific Med-Corp practices all healthcare services and medical treatments related to Methadone. The NPI Number for Western Pacific Med-Corp is 1235271180. The last update date is 2015-09-28.
Western Pacific Med-Corp's current location address is 4544 San Fernando Rd, Glendale, California. You can contact this provider via phone number 8189563737. The mailing address for Western Pacific Med-Corp is 4544 San Fernando Rd, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Pacific Med-Corp |
|---|---|
| Address | 4544 San Fernando Rd, Glendale, 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 | 1235271180 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2015-09-28 |
Provider Mailing Address Detail
| Address | 4544 San Fernando Rd |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912041987 |
| Phone Number | 8189563737 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 19-012 |
|
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 |
|---|---|---|---|
| 1949 | CA | DRUG MEDICAL PROVIDER | |
| CMM70045F | CA | MEDICAL PROVIDER |
Post Comment/ Review Below
What is the Western Pacific Med-Corp's unique identification number?
The Western Pacific Med-Corp has been assigned the NPI (National Provider Identifier) Number 1235271180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Western Pacific Med-Corp is physically located?
The Western Pacific Med-Corp is physically situated at the following address: 4544 San Fernando Rd, Glendale, CA, 912041987.
What is the Western Pacific Med-Corp's specialty and taxonomy code?
The Western Pacific Med-Corp's specialty is Methadone, and the corresponding taxonomy code is 261Qm2800X.
On what date was the 1235271180 assigned to Western Pacific Med-Corp?
The Western Pacific Med-Corp was issued its 1235271180 on 2007-02-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Western Pacific Med-Corp most recently updated or revised?
The information pertaining to Western Pacific Med-Corp, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-28.
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