Organization
THE GROUP PATH LLC
Active
Parent organization
THE GROUP GASTRO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GROUP GASTRO, LLC
Authorized official
DR. JAE HO KIM MD (CEO)
(480) 856-8252
Entity
Organization
Contact information
Practice address
10238 E HAMPTON AVE STE 205, MESA, AZ 85209-3318
(480) 856-8252
(470) 268-9921
Mailing address
PO BOX 1684, QUEEN CREEK, AZ 85142-1837
(480) 856-8252
(470) 268-9921
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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