Organization
WESTERN HEALTH COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIVAN S. WILSON (DIRECTOR OF PROGRAMS)
(310) 534-5590
Entity
Organization
Contact information
Practice address
1647 ANAHEIM ST, HARBOR CITY, CA 90710-3213
(310) 534-5590
(310) 534-5591
Mailing address
1647 ANAHEIM ST, HARBOR CITY, CA 90710-3213
(310) 534-5590
(310) 534-5591
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
19-035
CA
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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