| Pathway Medical Group, Inc. | |
|
2621 S Bristol St #203 Santa Ana CA 92704-5766 | |
| (714) 662-2256 | |
| (714) 662-0178 |
| Full Name | Pathway Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 2621 S Bristol St, Santa Ana, California |
| Authorized Official Name and Position | Hassan M Alkhouli (C.E.O.) |
| Authorized Official Contact | 7143792411 |
| 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. 2621 S Bristol St #203 Santa Ana CA 92704-5766 Ph: (714) 662-2256 |
| NPI Number | 1295026078 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295026078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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