Western Pacific Med-Corp in Reseda - Methadone
Western Pacific Med-Corp - NPI 1669514527
Western Pacific Med-Corp is a Methadone in Reseda, California. Western Pacific Med-Corp practices all healthcare services and medical treatments related to Methadone. The NPI Number for Western Pacific Med-Corp is 1669514527. The last update date is 2015-09-28.
Western Pacific Med-Corp's current location address is 7232 Canby Ave, Reseda, California. You can contact this provider via phone number 8189563737. The mailing address for Western Pacific Med-Corp is 7232 Canby Ave, Reseda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Pacific Med-Corp |
|---|---|
| Address | 7232 Canby Ave, Reseda, 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 | 1669514527 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2015-09-28 |
Provider Mailing Address Detail
| Address | 7232 Canby Ave |
|---|---|
| City | Reseda |
| State | California (CA) |
| Post Code | 913353006 |
| Phone Number | 8189563737 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 19-060 |
|
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 |
|---|---|---|---|
| 1948 | CA | DRUG MEDICAL PROVIDER | |
| CMM70047 | CA | MEDICAL PROVIDER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Western Pacific Med-Corp by the Centers for Medicare & Medicaid Services?
The Western Pacific Med-Corp has been assigned the NPI (National Provider Identifier) 1669514527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Western Pacific Med-Corp is physically located?
The Western Pacific Med-Corp is situated at the following address: 7232 Canby Ave, Reseda, CA 913353006.
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 did the Western Pacific Med-Corp receive the assignment of its 1669514527 from the Centers for Medicare & Medicaid Services?
The Western Pacific Med-Corp was issued its 1669514527 by the Centers for Medicare & Medicaid Services on 2007-02-13.
When was the Western Pacific Med-Corp's information last updated?
The Western Pacific Med-Corp's information was last updated on 2015-09-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY