Western Pacific Med-Corp
NPI #1942342811 in Stanton, California
Provider Information
- NPI Number
- 1942342811
- 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
- 10751 DALE AVE
- City
- Stanton
- State
- California
- ZIP Code
- 90680-2604
- Phone
- (818) 956-3737
Authorized Official
- Name
- MARK HICKMAN
- Title
- C.E.O.
- Phone
- (818) 956-3737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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