Western Pacific Med-Corp in Lancaster - Methadone

Western Pacific Med-Corp - NPI 1790827657

Western Pacific Med-Corp is a Methadone in Lancaster, California. Western Pacific Med-Corp practices all healthcare services and medical treatments related to Methadone. The NPI Number for Western Pacific Med-Corp is 1790827657. The last update date is 2015-09-28.

Western Pacific Med-Corp's current location address is 45335 Sierra Hwy, Lancaster, California. You can contact this provider via phone number 8189563737. The mailing address for Western Pacific Med-Corp is 45335 Sierra Hwy, Lancaster, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Pacific Med-Corp
Address 45335 Sierra Hwy, Lancaster, 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 1790827657
Provider Enumeration Date 2007-02-13
Last Updated Date 2015-09-28

Provider Mailing Address Detail

Address 45335 Sierra Hwy
City Lancaster
State California (CA)
Post Code 935341611
Phone Number 8189563737
Fax Number

Provider's Primary Taxonomy Detail

Speciality Methadone
Taxonomy 261Qm2800X
Licence No 19-116
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
1980 CA DRUG MEDICAL PROVIDER
HDC70028F CA MEDICAL PROVIDER

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FAQs about Western Pacific Med-Corp

What is the unique 10-digit identification code assigned to Western Pacific Med-Corp by the Centers for Medicare & Medicaid Services?

The Western Pacific Med-Corp has been issued the NPI (National Provider Identifier) 1790827657, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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: 45335 Sierra Hwy, Lancaster, CA 935341611.

What is Western Pacific Med-Corp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Western Pacific Med-Corp is Methadone, and the taxonomy classification code that categorizes this area of expertise is 261Qm2800X.

On what date did the Western Pacific Med-Corp receive the assignment of its 1790827657 from the Centers for Medicare & Medicaid Services?

The Western Pacific Med-Corp was issued its 1790827657 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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