Western Pacific Re-Hab

LBN: Western Pacific Re-Hab
Western Pacific Re-Hab is an health care organization with primary practice located at 275 Victoria St Ste 1H , Costa Mesa CA 92627. 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 Re-Hab can be contacted via phone (949) 629-2862, or through Hickman, Mark via phone (818) 956-3737.

Contact Information

Primary practice address
275 Victoria St Ste 1H Costa Mesa CA 92627
Phone: (949) 629-2862
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 30-12 California

Profile Details

NPI number 1578902466
LBN Legal business name Western Pacific Re-Hab
DBA Doing business as
Authorized official Hickman, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2013
Last updated Jan 23rd, 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 1578902466 NPPES
California Other 3098 CALIFORNIA DRUG MEDI-CAL

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