Organization
WESTERN PACIFIC MED/CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HICKMAN (CEO)
(818) 956-3737
Entity
Organization
Contact information
Practice address
4632 SAN FERNANDO RD, GLENDALE, CA 91204-1822
(818) 956-3737
(818) 543-6767
Mailing address
4632 SAN FERNANDO RD, GLENDALE, CA 91204-1822
(818) 956-3737
(818) 543-6767
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70045F
—
CA
05
—
CMM70047F
—
CA
05
—
CMM70054F
—
CA
05
—
CMM70074F
—
CA
05
—
CMM70208F
—
CA
05
—
HDC70023F
—
CA
05
—
HDC70028F
—
CA
05
—
HDC70061F
—
CA
05
—
HDC70062F
—
CA
05
—
HDC70063F
—
CA
Enumeration date
08/07/2007
Last updated
09/05/2007
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