Healthcare Provider Details

I. General information

NPI: 1841358942
Provider Name (Legal Business Name): PATHWAYS HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 W DUARTE RD SUITE 102
ARCADIA CA
91007-7603
US

IV. Provider business mailing address

PO BOX 1441
ARCADIA CA
91077-1441
US

V. Phone/Fax

Practice location:
  • Phone: 626-254-9540
  • Fax: 626-294-2996
Mailing address:
  • Phone: 626-254-9540
  • Fax: 626-294-2996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA80774
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS CHANG
Title or Position: OWNER
Credential: MD
Phone: 626-833-0770