Pathway Medical Group, Inc
LBN: Pathway Medical Group, Inc
Pathway Medical Group, Inc is an health care organization with primary practice located at 12462 Brookhurst St #A&B, Garden Grove CA 92840-4759. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Pathway Medical Group, Inc can be contacted via phone (714) 636-9850, or through Alkhouli, Hassan M. via phone (714) 379-3221.
Contact Information
Primary practice address
12462 Brookhurst St #A&B
Garden Grove CA 92840-4759
Phone: (714) 636-9850
Fax: (714) 636-1248
Website:
Authorized official contact:
Name: Alkhouli, Hassan M. Doctor of Medicine (MD)
Phone: (714) 379-3221
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1407802069 |
|---|---|
| LBN Legal business name | Pathway Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Alkhouli, Hassan M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | May 6th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407802069 | NPPES |
| California | MEDICAID | GR0100560 | |
| California | MEDICAID | GR0100561 |
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