WESTERN PACIFIC MED-CORP NPI 1235272196

NPI Information

  • NPI: 1235272196
  • Provider Name: WESTERN PACIFIC MED-CORP
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Address: 14332 VICTORY BLVD
    VAN NUYS, CA
    ZIP 91401
  • Phone: (818) 956-3737

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NPI Details

WESTERN PACIFIC MED-CORP is a methadone clinic center in Van Nuys, 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 1235272196. The provider is registered as an organization entity type.

The provider's business location address is:

14332 VICTORY BLVD
VAN NUYS, CA
ZIP 91401-944
Phone: (818) 956-3737

The provider's authorized official is Mark Hickman .
The authorized official title is C.e.o. and has the following contact phone number (818) 956-3737.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 9/28/2015.

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/CenterMethadone19-138CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HDC70061FOTHERCALIFORNIAMEDICAL PROVIDER
26805OTHERCALIFORNIADRUG MEDICAL PROVIDER

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: 11/21/2025

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