National Provider Identifier Database

PATHWAY MEDICAL GROUP
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

PATHWAY MEDICAL GROUP
21500 S. PIONEER BLVE SUITE 210
HAWAIIAN GARDENS, CA90716
Phone: 562-360-1556
Fax: 562-786-8629
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for PATHWAY MEDICAL GROUP

NPI Number 1053708081
Legal business name
LBN
PATHWAY MEDICAL GROUP
Authorized official GARY JACOBS - (OWNER/DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 04/16/2015
Last updated 04/16/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A42016

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PATHWAY MEDICAL GROUP

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