Organization
WESTERN PACIFIC MED-CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HICKMAN (C.E.O.)
(818) 956-3737
Entity
Organization
Contact information
Practice address
11902 ROSECRANS AVE, NORWALK, CA 90650-4197
(818) 956-3737
Mailing address
4544 SAN FERNANDO RD, SUITE 202, GLENDALE, CA 91204-1987
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
19-114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1968
DRUG MEDICAL PROVIDER
CA
01
—
HDC70023F
MEDICAL PROVIDER
CA
Enumeration date
02/13/2007
Last updated
09/28/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up