Organization
PATHWAY PROFESSIONALS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL SHAH MD (OWNER)
(818) 414-7765
Entity
Organization
Contact information
Practice address
5144 WOODLEY AVE, ENCINO, CA 91436-1443
(949) 329-3473
Mailing address
5144 WOODLEY AVE, ENCINO, CA 91436-1443
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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