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Western Pacific Re-Hab

Methadone Clinic in Reseda, CA · enumerated 2013 · authorized official Mark Hickman, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437598323

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Registry record

Entity type Organization (Type 2)
Legal business name Western Pacific Re-Hab
Practice address 7232 Canby Ave, Suites 4,5,6, Reseda, CA, 91335
Phone (818) 705-5561
Enumeration date Jun 24, 2013
Last updated in NPPES Jan 23, 2020

Taxonomy & classification

261QM2800X Methadone Clinic Ambulatory Health Care Facilities · License 19-123 (CA) Primary

Authorized official

Name Mark Hickman
Title Ceo
Phone (818) 956-3737

Other identifiers

Identifier Type State Issuer
1948 Other CA CALIFORNIA DRUG MEDI-CAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-01-23. Verify at npiregistry.cms.hhs.gov.
Where is Western Pacific Re-Hab located?
The practice location on file with NPPES is in Reseda, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-23.