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WESTERN PACIFIC MED/CORP
NPI 1720279441
Clinic/Center - Methadone in Glendale, CA

Active since August 07, 2007
4632 SAN FERNANDO RD, GLENDALE, CA 91204(818) 956-3737(818) 543-6767 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 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 1720279441) is a healthcare organization registered as a methadone in Glendale, California and active in the NPI registry since August 2007. The organization lists Mark Hickman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720279441
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWESTERN PACIFIC MED/CORP
Location Address4632 SAN FERNANDO RDGlendale, CA 91204-1822
Mailing Address4632 San Fernando RdGlendale, CA 91204-1822 · (818) 956-3737 · Fax (818) 543-6767
Phone(818) 956-3737
Fax(818) 543-6767
Organization SubpartNo
Authorized OfficialMark HickmanCeo · (818) 956-3737
Enumeration DateAugust 7, 2007
Last NPPES UpdateSeptember 5, 2007
✔ NPI 1720279441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
4632 SAN FERNANDO RD, Glendale, CA 91204
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Other Identifiers 10

MedicaidCMM70045FCA
MedicaidCMM70047FCA
MedicaidHDC70063FCA
MedicaidHDC70028FCA
MedicaidCMM70208FCA
MedicaidHDC70023FCA
MedicaidCMM70054FCA
MedicaidCMM70074FCA
MedicaidHDC70061FCA
MedicaidHDC70062FCA

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 1720279441. It was assigned to this organization in the NPPES registry on August 7, 2007.

Where is Western Pacific Med/Corp located?

Western Pacific Med/Corp is located at 4632 San Fernando Rd, Glendale, CA 91204. 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 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.