Organization
PRIME PATHWAYS CORPORATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HSU M.D. (PRESIDENT)
(213) 375-5601
Entity
Organization
Contact information
Practice address
2153 N 1ST AVE, UPLAND, CA 91784-1446
(213) 375-5601
(909) 981-6292
Mailing address
2153 N 1ST AVE, UPLAND, CA 91784-1446
(213) 375-5601
(909) 981-6292
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
120101
CA
273Y00000X
Rehabilitation Hospital Unit
120101
CA
282N00000X
General Acute Care Hospital
Primary
120101
CA
283X00000X
Rehabilitation Hospital
120101
CA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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