Provider Demographics
NPI:1851085948
Name:CAREPATH MEDICAL GROUP INC
Entity type:Organization
Organization Name:CAREPATH MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CFO, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OFELYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-301-9754
Mailing Address - Street 1:401 N BRAND BLVD STE 814
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-4434
Mailing Address - Country:US
Mailing Address - Phone:818-301-9754
Mailing Address - Fax:818-450-0411
Practice Address - Street 1:401 N BRAND BLVD STE 814
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4434
Practice Address - Country:US
Practice Address - Phone:818-301-9754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty