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WESTERN PACIFIC MED-CORP NPI 1386280899


NPI Information

NPI: 1386280899
Provider Name: WESTERN PACIFIC MED-CORP
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
26921 CROWN VALLEY PKWY STE 200
MISSION VIEJO, CA
ZIP 92691
Phone: (818) 956-3737
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WESTERN PACIFIC MED-CORP is a methadone clinic center in Mission Viejo, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. WESTERN PACIFIC MED-CORP NPI is 1386280899. The provider is registered as an organization entity type.

The provider's business location address is:

26921 CROWN VALLEY PKWY STE 200
MISSION VIEJO, CA
ZIP 92691-501
Phone: (818) 956-3737
Fax: (818) 543-6767

The provider's authorized official is Jeffery Steven Blake .
The authorized official title is Director Of Operations and has the following contact phone number (818) 956-3737.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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