Western Pacific Med/Corp
LBN: Western Pacific Med/Corp
Western Pacific Med/Corp is an health care organization with primary practice located at 4632 San Fernando Rd , Glendale CA 91204-1822. 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
4632 San Fernando Rd
Glendale CA 91204-1822
Phone: (818) 956-3737
Fax: (818) 543-6767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | California |
Profile Details
| NPI number | 1720279441 |
|---|---|
| LBN Legal business name | Western Pacific Med/Corp |
| DBA Doing business as | |
| Authorized official | Hickman, Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Sep 5th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720279441 | NPPES |
| California | MEDICAID | HDC70063F | |
| California | MEDICAID | CMM70074F | |
| California | MEDICAID | HDC70023F | |
| California | MEDICAID | HDC70061F | |
| California | MEDICAID | CMM70045F | |
| California | MEDICAID | CMM70054F | |
| California | MEDICAID | CMM70208F | |
| California | MEDICAID | HDC70062F | |
| California | MEDICAID | CMM70047F | |
| California | MEDICAID | HDC70028F |
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