WESTERN PACIFIC MED-CORP

GLENDALE, CA
NPI1235271180
Entity TypeOrganization
Authorized ContactMARK HICKMAN
C.E.O.
818-956-3737
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center Methadone
(Licence: CA  19-012)
Enumeration Date2007-02-13
Last Update Date2015-09-28
Business Address
WESTERN PACIFIC MED-CORP
4544 SAN FERNANDO RD SUITE 201
GLENDALE, CA 91204-1987
Phone number: 818-240-8843
Mailing Address
WESTERN PACIFIC MED-CORP
4544 SAN FERNANDO RD SUITE 202
GLENDALE, CA 91204-1987
Phone number: 818-956-3737
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