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NPI Code Detail

MEDICARE: GOLDEN PATHWAY HAVEN LLC

MEDICARE: GOLDEN PATHWAY HAVEN LLC
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
1251S00000XCommunity/Behavioral Health Agency
2261QM1300XMulti-Specialty Clinic/Center
3251B00000XCase Management Agency

General Provider Information

NPI Number : 1841157658
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN PATHWAY HAVEN LLC
Provider Business Mailing Address
First Line : 2161 SAND CREEK RD UNIT 34
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-7137
Country : US
Telephone Number : 650-242-5717
Fax Number :
Provider Business Practice Location Address
First Line : 2161 SAND CREEK RD
Second Line : UNIT 34
City : BRENTWOOD
State : CA
Zip : 94513
Country : US
Telephone Number : 650-242-5717
Fax Number : 650-242-5717
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : PAMELA BARROW
Credential :
Telephone Number : 650-242-5717
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “GOLDEN PATHWAY HAVEN LLC ” Practice Location

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