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1386280899
WESTERN PACIFIC MED-CORP
MISSION VIEJO, CA
NPI
1386280899
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Entity Type
Organization
Authorized Contact
JEFFERY STEVEN BLAKE
Director Of Operations
818-956-3737
Organization Subpart ?
No
Primary Taxonomy
261QM2800X Clinic/Center Methadone
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
WESTERN PACIFIC MED-CORP
26921 CROWN VALLEY PKWY STE 200
MISSION VIEJO, CA 92691-6501
Phone number: 818-956-3737
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Mailing Address
WESTERN PACIFIC MED-CORP
4544 SAN FERNANDO RD STE 202
GLENDALE, CA 91204-5015
Phone number: 818-956-3737
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