Western Pacific Med-Corp

LBN: Western Pacific Med-Corp
Western Pacific Med-Corp is an health care organization with primary practice located at 4838 Laurel Canyon Blvd , North Hollywood CA 91607-3717. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Western Pacific Med-Corp can be contacted via phone (818) 956-3737, or through Hickman, Mark via phone (818) 956-3737.

Contact Information

Primary practice address
4838 Laurel Canyon Blvd North Hollywood CA 91607-3717
Phone: (818) 956-3737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hickman, Mark
Phone: (818) 956-3737

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 19-139 California

Profile Details

NPI number 1124160080
LBN Legal business name Western Pacific Med-Corp
DBA Doing business as
Authorized official Hickman, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Feb 6th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124160080 NPPES
California Other 1902 DRUG MEDICAL PROVIDER
California Other HDC70063F DRUG MEDICAL PROVIDER

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