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Organization
PATHWAY MEDICAL GROUP, INC
Active
Organization
PATHWAY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN M. ALKHOULI M.D. (C.E. O.)
(714) 379-3221
Entity
Organization
Contact information
Practice address
7955 WESTMINSTER BLVD, WESTMINSTER, CA 92683-4001
(714) 379-3221
(714) 379-3211
Mailing address
PO BOX 2989, SEAL BEACH, CA 90740-1989
(714) 379-3221
(714) 379-3211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100560
—
CA
05
—
GR0100561
—
CA
05
—
GR0100562
—
CA
Enumeration date
05/16/2006
Last updated
05/06/2008
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