Western Pacific Med-Corp

NPI #1780726653 in Norwalk, California

Provider Information

NPI Number
1780726653
Entity Type
Organization
Organization Name
Western Pacific Med-Corp
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Feb 13, 2007
Last Updated
Sep 28, 2015

Practice Location

Address
11902 ROSECRANS AVE
ZIP Code
90650-4197
Phone
(818) 956-3737

Authorized Official

Name
MARK HICKMAN
Title
C.E.O.
Phone
(818) 956-3737

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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