Organization
PATHWAY MEDICAL GROUP, INC.
Active
Parent organization
PATHWAY MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAY MEDICAL GROUP, INC.
Authorized official
DR. HASSAN M ALKHOULI M.D. (C.E.O.)
(714) 379-2411
Entity
Organization
Contact information
Practice address
2621 S BRISTOL ST, #203, SANTA ANA, CA 92704-5766
(714) 662-2256
(714) 662-0178
Mailing address
PO BOX 2989, SEAL BEACH, CA 90740-1989
(714) 379-3221
(714) 379-3211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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