Prohealth Medical Group, Inc is a
Clinic/center - Multi-specialty based in Mission Hills, California. Prohealth Medical Group, Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
10630 Sepulveda Blvd Ste 100, Mission Hills, California. It can be reached at their office (for appointments etc.) via phone at
(818) 302-0759.
NPI number for Prohealth Medical Group, Inc is 1376819821 and their current mailing address is 10630 Sepulveda Blvd Ste 100, Mission Hills, California. Prohealth Medical Group, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1376819821.
Healthcare Provider's Profile
| Full Name | Prohealth Medical Group, Inc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Multi-specialty |
|---|
| Location | 10630 Sepulveda Blvd Ste 100, Mission Hills, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376819821
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 09/26/2019
Medical Identifiers
Medical identifiers for Prohealth Medical Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376819821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prohealth Medical Group, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Prohealth Medical Group, Inc
10630 Sepulveda Blvd Ste 100,
Mission Hills, CA 91345-1937
Ph: (818) 302-0759 | Prohealth Medical Group, Inc
10630 Sepulveda Blvd Ste 100,
Mission Hills, CA 91345-1937
Ph: (818) 302-0759 |
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