WESTERN PACIFIC MED-CORP NPI 1942342811

NPI Information

NPI: 1942342811
Provider Name: WESTERN PACIFIC MED-CORP
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
10751 DALE AVE
STANTON, CA
ZIP 90680
Phone: (818) 956-3737
Get Directions

WESTERN PACIFIC MED-CORP is a methadone clinic center in Stanton, 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 1942342811. The provider is registered as an organization entity type.

The provider's business location address is:

10751 DALE AVE
STANTON, CA
ZIP 90680-604
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 2/13/2007 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
1	261QM2800X	Clinic/Center	Methadone	30-10	CALIFORNIA	Yes

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
1	CMM70074F	OTHER	CALIFORNIA	MEDICAL PROVIDER
2	3098	OTHER	CALIFORNIA	DRUG 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: 11/14/2023

NPI Synchronization or Removal

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