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1205275195
WESTERN PACIFIC RE-HAB
NORWALK, CA
NPI
1205275195
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Entity Type
Organization
Authorized Contact
MARK HICKMAN
CEO
818-956-3737
Organization Subpart ?
No
Primary Taxonomy
261QM2800X Clinic/Center Methadone
(Licence: CA 19-124)
Enumeration Date
2013-06-24
Last Update Date
2020-02-25
Business Address
WESTERN PACIFIC RE-HAB
11902 ROSECRANS AVE STE A&D
NORWALK, CA 90650-4197
Phone number: 562-929-7188
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Mailing Address
WESTERN PACIFIC RE-HAB
4544 SAN FERNANDO RD SUITE 202
GLENDALE, CA 91204-1987
Phone number: 818-956-3737
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