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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PATHWAY MEDICAL GROUP

NPI # 1053708081
LBN Legal business name PATHWAY MEDICAL GROUP
Authorized official GARY JACOBS - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2015
Last updated 04/16/2015 - About 11 years ago
Identifiers
CA License # A42016
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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