WESTERN PACIFIC MED-CORP
Ambulatory Health at Camarillo St, North Hollywood, CA

License number
California 19-139
Category
Ambulatory Health
Type
Methadone
Owner
Name: MARK HICKMAN
Title: C.E.O.
Phone: (818) 956-3737
Address
Address 2
11321 Camarillo St, North Hollywood, CA 91602
4544 San Fernando Rd SUITE 202, Glendale, CA 91204
National Provider ID: 1124160080
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WESTERN PACIFIC MED-CORP at bizstanding.com

WESTERN PACIFIC MED-CORP

Glendale, CA

Industry:
Medical & Substance Abuse Clinic, Medical Doctor's Office, Specialty Hospital
Doing business as:
Western Pacific Med Group
Registration:
Oct 9, 1979
Phone:
(818) 240-8843 (Phone), (818) 956-3737 (Phone)
Addresses:
4544 San Fernando Rd STE 202, Glendale, CA 91204 (Physical)
4628 San Fernando Rd, Glendale, CA 91204
4632 San Fernando Rd, Glendale, CA 91204
State ID:
C0942298
Business type:
Articles of Incorporation
Presidents:
Mark Hoffman (Sales And Marketing Executive),Mark Richard Hickman (President)
Agent:
Mark R Hickman,Glendale, CA 91204 (Physical)

WESTERN PACIFIC MED-CORP

Glendale, CA

Industry:
Specialty Hospital
Registration:
Oct 9, 1979
Phone:
(818) 956-3737 (Phone)
Addresses:
4544 San Fernando Rd STE 202, Glendale, CA 91204 (Physical)
4632 San Fernando Rd, Glendale, CA 91204
State ID:
C0942298
Business type:
Articles of Incorporation
President:
Mark Richard Hickman (President)
Agent:
Mark R Hickman,Glendale, CA 91204 (Physical)

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