Organization · Type 2 NPI
Western Pacific Med-Corp
Methadone Clinic · San Fernando, CA
NPI number
1376685230
Active
Practice location
111 N Maclay Ave
San Fernando, CA 91340-2906
Mailing address
4544 San Fernando Rd Ste 202
Glendale, CA 91204-5015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 19-088 (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.
About NPI 1376685230
Western Pacific Med-Corp's National Provider Identifier is 1376685230, issued on Feb 13, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in San Fernando, CA. The record was last updated on Oct 15, 2026.