Western Pacific Med-Corp in Stanton - Methadone

Western Pacific Med-Corp - NPI 1942342811

Western Pacific Med-Corp is a Methadone in Stanton, California. Western Pacific Med-Corp practices all healthcare services and medical treatments related to Methadone. The NPI Number for Western Pacific Med-Corp is 1942342811. The last update date is 2015-09-28.

Western Pacific Med-Corp's current location address is 10751 Dale Ave, Stanton, California. You can contact this provider via phone number 8189563737. The mailing address for Western Pacific Med-Corp is 10751 Dale Ave, Stanton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Pacific Med-Corp
Address 10751 Dale Ave, Stanton, 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 1942342811
Provider Enumeration Date 2007-02-13
Last Updated Date 2015-09-28

Provider Mailing Address Detail

Address 10751 Dale Ave
City Stanton
State California (CA)
Post Code 906802604
Phone Number 8189563737
Fax Number

Provider's Primary Taxonomy Detail

Speciality Methadone
Taxonomy 261Qm2800X
Licence No 30-10
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
CMM70074F CA MEDICAL PROVIDER
3098 CA DRUG MEDICAL PROVIDER

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FAQs about Western Pacific Med-Corp

What is the unique 10-digit identifier 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) 1942342811 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Western Pacific Med-Corp located?

The Western Pacific Med-Corp is located at 10751 Dale Ave, Stanton, CA 906802604.

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.

When did the Western Pacific Med-Corp receive its 1942342811?

The Western Pacific Med-Corp was issued its 1942342811 on 2007-02-13, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Western Pacific Med-Corp most recently updated or revised?

The details related to Western Pacific Med-Corp, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-28.

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