Organization · Type 2 NPI

Western Pacific Med/corp

Methadone Clinic · Glendale, CA

NPI number 1720279441 Active

Practice location

4632 San Fernando Rd
Glendale, CA 91204-1822

Fax (818) 543-6767

Specialties and licenses

TaxonomyCodeLicense
Methadone Clinic Primary 261QM2800XNone listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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About NPI 1720279441

Western Pacific Med/corp's National Provider Identifier is 1720279441, issued on Aug 7, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Glendale, CA. The record was last updated on Sep 5, 2007.