WESTERN PACIFIC MED-CORP
NPI 1235272196
Clinic/Center - Methadone in Van Nuys, CA

Active since February 14, 2007
14332 VICTORY BLVD, VAN NUYS, CA 91401(818) 956-3737 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Pacific Med-corp NPPES

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

WESTERN PACIFIC MED-CORP (NPI 1235272196) is a healthcare organization registered as a methadone in Van Nuys, 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

NPI1235272196
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWESTERN PACIFIC MED-CORP
Location Address14332 VICTORY BLVDVan Nuys, CA 91401-1944
Mailing Address4544 San Fernando Rd, Suite 202Glendale, CA 91204-1987 · (818) 956-3737
Organization SubpartNo
Authorized OfficialMark HickmanC.e.o. · (818) 956-3737
Enumeration DateFebruary 14, 2007
Last NPPES UpdateSeptember 28, 2015
NPI 1235272196 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 · 19-138
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
14332 VICTORY BLVD, Van Nuys, CA 91401

Other Identifiers 2

OtherHDC70061FCA · Medical Provider
Other6805CA · Drug Medical Provider

Other Providers at the Same Location NPPES 10

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

Counselor (Addiction (Substance Use Disorder))
14332 VICTORY BLVD
VAN NUYS, CA 91401
Licensed Vocational Nurse
14332 VICTORY BLVD
VAN NUYS, CA 91401
Licensed Vocational Nurse
14332 VICTORY BLVD
VAN NUYS, CA 91401
Counselor (Addiction (Substance Use Disorder))
14332 VICTORY BLVD
VAN NUYS, CA 91401
Licensed Vocational Nurse
14332 VICTORY BLVD
VAN NUYS, CA 91401
Counselor (Addiction (Substance Use Disorder))
14332 VICTORY BLVD
VAN NUYS, CA 91401
Counselor (Addiction (Substance Use Disorder))
14332 VICTORY BLVD
VAN NUYS, CA 91401
Counselor (Addiction (Substance Use Disorder))
14332 VICTORY BLVD
VAN NUYS, CA 91401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for Western Pacific Med-Corp is 1235272196. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Western Pacific Med-Corp located?

Western Pacific Med-Corp is located at 14332 Victory Blvd, Van Nuys, CA 91401. The listed phone number is (818) 956-3737.

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.

When was this NPI record last updated?

The NPPES record for Western Pacific Med-Corp was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.