WESTERN PACIFIC MED/CORP

GLENDALE, CA
NPI1720279441
Entity TypeOrganization
Authorized ContactMARK HICKMAN
CEO
818-956-3737
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date2007-08-07
Last Update Date2007-09-05
Business Address
WESTERN PACIFIC MED/CORP
4632 SAN FERNANDO RD
GLENDALE, CA 91204-1822
Phone number: 818-956-3737
Mailing Address
WESTERN PACIFIC MED/CORP
4632 SAN FERNANDO RD
GLENDALE, CA 91204-1822
Phone number: 818-956-3737
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