Organization
PATHWAY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN LATIFZADA (CEO)
(310) 801-8575
Entity
Organization
Contact information
Practice address
525 N AZUSA AVE STE 111, LA PUENTE, CA 91744-4261
(626) 961-8699
(626) 956-0861
Mailing address
525 N AZUSA AVE STE 111, LA PUENTE, CA 91744-4261
(626) 961-8699
(626) 336-0356
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/16/2024
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