WESTERN PACIFIC MED-CORP

VAN NUYS, CA
NPI1235272196
Entity TypeOrganization
Authorized ContactMARK HICKMAN
C.E.O.
818-956-3737
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
(Licence: CA  19-138)
Enumeration Date2007-02-14
Last Update Date2015-09-28
Business Address
WESTERN PACIFIC MED-CORP
14332 VICTORY BLVD
VAN NUYS, CA 91401-1944
Phone number: 818-956-3737
Mailing Address
WESTERN PACIFIC MED-CORP
4544 SAN FERNANDO RD SUITE 202
GLENDALE, CA 91204-1987
Phone number: 818-956-3737