WESTERN PACIFIC MED-CORP
NPI 1124160080
Clinic/Center - Methadone in North Hollywood, CA

Q: What is Western Pacific Med-Corp's NPI number?

The NPI number for Western Pacific Med-Corp is 1124160080. It was assigned to this organization in the NPPES registry on February 13, 2007.

Q: What is Western Pacific Med-Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since February 13, 2007

4838 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91607(818) 956-3737 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2020, Sep 28, 2015 (2 updates tracked since 2015).

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About Western Pacific Med-corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN PACIFIC MED-CORP (NPI 1124160080) is a healthcare organization registered as a methadone in North Hollywood, California and active in the NPI registry since February 2007. The organization lists Mark Hickman, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1124160080

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameWESTERN PACIFIC MED-CORP

Location Address4838 LAUREL CANYON BLVDNorth Hollywood, CA 91607-3717

Mailing Address4544 San Fernando Rd, Suite 202Glendale, CA 91204-1987

Phone(818) 956-3737

Organization SubpartNo

Authorized OfficialMark HickmanC.e.o. · (818) 956-3737

Enumeration DateFebruary 13, 2007

Last NPPES UpdateFebruary 6, 20202 updates tracked since enumeration

✔ NPI 1124160080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in CA · 19-139

Definition

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

4838 LAUREL CANYON BLVD, North Hollywood, CA 91607

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Other Identifiers 2

Other1902CA · Drug Medical Provider

OtherHDC70063FCA · Medical Provider

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

3,901 services17 patients

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON P BARNEY LVN

Licensed Vocational Nurse