| Pathway Medical Group, Inc | |
|
12665 Garden Grove Blvd #502-a Garden Grove CA 92843-1901 | |
| (714) 537-7800 | |
| (714) 537-7633 |
| Full Name | Pathway Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12665 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Hassan M. Alkhouli (C.E.O.) |
| Authorized Official Contact | 7143793221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Medical Group, Inc Po Box 2989 Seal Beach CA 90740-1989 Ph: (714) 379-3221 | Pathway Medical Group, Inc 12665 Garden Grove Blvd #502-a Garden Grove CA 92843-1901 Ph: (714) 537-7800 |
| NPI Number | 1184670762 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184670762 | NPI | - | NPPES |
| GR0100560 | Medicaid | CA | |
| GR0100562 | Medicaid | CA |
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