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Western Pacific Med-Corp

Methadone Clinic in Reseda, CA · enumerated 2007 · authorized official Mark Hickman, C.E.O..

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

National Provider Identifier

1669514527

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Registry record

Entity type Organization (Type 2)
Legal business name Western Pacific Med-Corp
Practice address 7232 Canby Ave, Suites 4,5,6, Reseda, CA, 91335
Enumeration date Feb 13, 2007
Last updated in NPPES Sep 28, 2015

Taxonomy & classification

261QM2800X Methadone Clinic Ambulatory Health Care Facilities · License 19-060 (CA) Primary

Authorized official

Name Mark Hickman
Title C.E.O.

Other identifiers

Identifier Type State Issuer
1948 Other CA DRUG MEDICAL PROVIDER
CMM70047 Other CA MEDICAL PROVIDER

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 2015-09-28. Verify at npiregistry.cms.hhs.gov.
Where is Western Pacific Med-Corp 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 2015-09-28.