Provider Demographics
NPI:1851421713
Name:PATHWAYS COMMUNITY SERVICES LLC
Entity Type:Organization
Organization Name:PATHWAYS COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STATE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:GINTER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CBCS
Authorized Official - Phone:657-465-9497
Mailing Address - Street 1:8337 TELEGRAPH ROAD
Mailing Address - Street 2:SUITE 123, 300
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-4940
Mailing Address - Country:US
Mailing Address - Phone:562-467-5440
Mailing Address - Fax:562-467-5553
Practice Address - Street 1:8337 TELEGRAPH ROAD
Practice Address - Street 2:SUITE 123, 300
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-4940
Practice Address - Country:US
Practice Address - Phone:562-865-3644
Practice Address - Fax:562-865-5244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7572DOtherLA COUNTY REPORTING UNIT
CA7572BOtherLA COUNTY REPORTING UNIT
CA7572OtherMEDI-CAL PROVIDER NUMBER
CA7572AOtherLA COUNTY REPORTING UNIT
CA7711AOtherLA COUNTY REPORTING UNIT