Organization · Type 2 NPI
Western Pacific Med-Corp
Methadone Clinic · North Hollywood, CA
NPI number
1124160080
Active
Practice location
4838 Laurel Canyon Blvd
North Hollywood, CA 91607-3717
Mailing address
4544 San Fernando Rd, Suite 202
Glendale, CA 91204-1987
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 19-139 (CA) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
9 other providers at this address
- Angelia KeatonAddiction (Substance Use Disorder) Counselor North Hollywood, CA NPI 1992452684
- Anton Fedorovich Shanin, FNPFamily Nurse Practitioner North Hollywood, CA NPI 1467283051
- Izhr Gocong, LVNLicensed Vocational Nurse North Hollywood, CA NPI 1508457375
- Jennifer LongAddiction (Substance Use Disorder) Counselor North Hollywood, CA NPI 1952989394
- Liliana Lara, LVNLicensed Vocational Nurse North Hollywood, CA NPI 1568372985
- Matthew RileyAddiction (Substance Use Disorder) Counselor North Hollywood, CA NPI 1932854155
- Shannon P. Barney, LVNLicensed Vocational Nurse North Hollywood, CA NPI 1093363319
- Yajaira GaribayAddiction (Substance Use Disorder) Counselor North Hollywood, CA NPI 1417660200
- Zondre Johnson, COUNSELORAddiction (Substance Use Disorder) Counselor North Hollywood, CA NPI 1255021721
About NPI 1124160080
Western Pacific Med-Corp's National Provider Identifier is 1124160080, issued on Feb 13, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in North Hollywood, CA. The record was last updated on Feb 6, 2020.