Western Pacific Re-Hab
NPI #1205275195 in Norwalk, California
Provider Information
- NPI Number
- 1205275195
- Entity Type
- Organization
- Organization Name
- Western Pacific Re-Hab
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Jun 24, 2013
- Last Updated
- Feb 25, 2020
Practice Location
- Address
- 11902 ROSECRANS AVE STE A&D
- City
- Norwalk
- State
- California
- ZIP Code
- 90650-4197
- Phone
- (562) 929-7188
Authorized Official
- Name
- MARK HICKMAN
- Title
- CEO
- Phone
- (818) 956-3737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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