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NPI Code Detail

MEDICARE: PATHWAY TO RECOVERY INC.

MEDICARE: PATHWAY TO RECOVERY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1740005453
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHWAY TO RECOVERY INC.
Provider Business Mailing Address
First Line : 7750 LOUISE AVE
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-2117
Country : US
Telephone Number : 747-224-8884
Fax Number :
Provider Business Practice Location Address
First Line : 7750 LOUISE AVE
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-2117
Country : US
Telephone Number : 310-729-7233
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. MIKAYEL HAKOBYAN
Credential :
Telephone Number : 747-232-4283
Provider Enumeration Date : 11/18/2024
Last Update Date : 12/01/2025

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Directions to “PATHWAY TO RECOVERY INC. ” Practice Location

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