Provider Demographics
NPI:1235952870
Name:CLEAR PATH SOLUTION MEDICAL INC
Entity type:Organization
Organization Name:CLEAR PATH SOLUTION MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-238-4694
Mailing Address - Street 1:3691 VIA MERCADO STE 14
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-8325
Mailing Address - Country:US
Mailing Address - Phone:619-862-7470
Mailing Address - Fax:619-299-1715
Practice Address - Street 1:3691 VIA MERCADO STE 14
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-8325
Practice Address - Country:US
Practice Address - Phone:619-862-7470
Practice Address - Fax:619-299-1715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty