| Pathway Medical Group, Inc. | |
|
12555 Garden Grove Blvd #507 Garden Grove CA 92843-1902 | |
| (714) 590-3090 | |
| (714) 590-3098 |
| Full Name | Pathway Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 12555 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. 12555 Garden Grove Blvd #507 Garden Grove CA 92843-1902 Ph: (714) 590-3090 | Pathway Medical Group, Inc. 12555 Garden Grove Blvd #507 Garden Grove CA 92843-1902 Ph: (714) 590-3090 |
| NPI Number | 1619169158 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619169158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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