NPI | 1992866974 |
---|---|
Other Name | WESTERN PACIFIC |
Entity Type | Organization |
Authorized Contact | MARK ANTHONY COLE Addictionist/Occupational Medicine 213-500-2246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: CA 14784) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 14784) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2009-02-23 |