PATHWAY MEDICAL GROUP
NPI 1053708081
Specialist in Hawaiian Gardens, CA
- Organization
- Specialist
About PATHWAY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Pathway Medical Group, a provider established in Hawaiian Gardens, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1053708081 assigned on April 2015. The practitioner's primary taxonomy code is 174400000X with license number A42016 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Pathway Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Gary Phillip Jacobs Md (Owner/doctor)
- NPI
- 1053708081 Verify this NPI
- Provider Name
- PATHWAY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 21500 S. PIONEER BLVE SUITE 210 HAWAIIAN GARDENS, CA 90716
- Location Phone
- (562) 360-1556
- Location Fax
- (562) 786-8629
- Mailing Address
- 21500 S. PIONEER BLVE SUITE 210 HAWAIIAN GARDENS, CA 90716
- Mailing Phone
- (562) 360-1556
- Mailing Fax
- (562) 786-8629
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-16-2015
- Last Update Date
- 04-16-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- A42016
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053708081, enumerated as an "organization" on April 16, 2015.
The provider is located at 21500 S. PIONEER BLVE SUITE 210 HAWAIIAN GARDENS, CA 90716 and the phone number is (562) 360-1556.
Specialist with taxonomy code 174400000X.
