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1780726653
WESTERN PACIFIC MED-CORP
NORWALK, CA
NPI
1780726653
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Entity Type
Organization
Authorized Contact
MARK HICKMAN
C.E.O.
818-956-3737
Organization Subpart ?
No
Primary Taxonomy
261QM2800X Clinic/Center Methadone
(Licence: CA 19-114)
Enumeration Date
2007-02-13
Last Update Date
2015-09-28
Business Address
WESTERN PACIFIC MED-CORP
11902 ROSECRANS AVE
NORWALK, CA 90650-4197
Phone number: 818-956-3737
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Mailing Address
WESTERN PACIFIC MED-CORP
4544 SAN FERNANDO RD SUITE 202
GLENDALE, CA 91204-1987
Phone number:
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