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Organization

PATHWAY MEDICAL GROUP

Active
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Organization

PATHWAY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY PHILLIP JACOBS MD (OWNER/DOCTOR)
(562) 360-1556
Entity
Organization

Contact information

Practice address
21500 S. PIONEER BLVE SUITE 210, HAWAIIAN GARDENS, CA 90716
(562) 360-1556
(562) 786-8629
Mailing address
21500 S. PIONEER BLVE SUITE 210, HAWAIIAN GARDENS, CA 90716
(562) 360-1556
(562) 786-8629

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A42016
CA

Other

Enumeration date
04/16/2015
Last updated
04/16/2015
About Stedi
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