Pathways To Life in Long Beach - Community Health
Pathways To Life - NPI 1679773683
Pathways To Life is a Community Health in Long Beach, California. Pathways To Life practices all healthcare services and medical treatments related to Community Health. The NPI Number for Pathways To Life is 1679773683. The last update date is 2007-07-19.
Pathways To Life's current location address is 1125 Cherry Ave, Long Beach, California. You can contact this provider via phone number 5622561388 and fax number 5622561635. The mailing address for Pathways To Life is 1125 Cherry Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pathways To Life |
|---|---|
| Address | 1125 Cherry Ave, Long Beach, California |
| Phone Number | 5622561388 |
| Fax Number | 5622561635 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kintaudi Prudencia |
| Credentials | M.D. |
| Telephone Number | 5622561388 |
NPI Number Detail
| NPI Number | 1679773683 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 1125 Cherry Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908133911 |
| Phone Number | 5622561388 |
| Fax Number | 5622561635 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
|
Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
|
Post Comment/ Review Below
What is the Pathways To Life's unique identification number?
The Pathways To Life has been assigned the NPI (National Provider Identifier) Number 1679773683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Pathways To Life is located?
The Pathways To Life is situated at the following address: 1125 Cherry Ave, Long Beach, CA, 908133911.
What is the area of specialization for Pathways To Life, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pathways To Life is Community Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qc1500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679773683 to Pathways To Life?
The Pathways To Life received its 1679773683 assignment from the Centers for Medicare & Medicaid Services on 2007-07-19.
As of what date was the information regarding Pathways To Life, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pathways To Life, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-19.