Pathway Medical Group, Inc | |
12462 Brookhurst St #a&b Garden Grove CA 92840-4759 | |
(714) 636-9850 | |
(714) 636-1248 |
Full Name | Pathway Medical Group, Inc |
---|---|
Speciality | Family Medicine |
Location | 12462 Brookhurst St, 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) 636-9850 | Pathway Medical Group, Inc 12462 Brookhurst St #a&b Garden Grove CA 92840-4759 Ph: (714) 636-9850 |
NPI Number | 1407802069 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 05/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407802069 | NPI | - | NPPES |
GR0100560 | Medicaid | CA | |
GR0100561 | Medicaid | CA |
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