Western Pacific Med-Corp in Glendale - Methadone
Western Pacific Med-Corp - NPI 1780726653
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 1780726653. 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 . 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 | |
| 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 | 1780726653 |
|---|---|
| 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 | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 19-114 |
|
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 |
|---|---|---|---|
| HDC70023F | CA | MEDICAL PROVIDER | |
| 1968 | CA | DRUG 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 1780726653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Western Pacific Med-Corp is located?
The Western Pacific Med-Corp is situated at the following address: 4544 San Fernando Rd, Glendale, CA, 912041987.
What is Western Pacific Med-Corp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Western Pacific Med-Corp is Methadone, and the taxonomy code that categorizes this field of expertise is 261Qm2800X.
On what date did the Western Pacific Med-Corp receive the assignment of its 1780726653 from the Centers for Medicare & Medicaid Services?
The Western Pacific Med-Corp was issued its 1780726653 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details pertaining to Western Pacific Med-Corp last refreshed?
The information related to the Western Pacific Med-Corp, including its address, specialty, and other relevant details, was last updated on 2015-09-28.
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