| Prohealth Partners A Medical Group Inc | |
|
2900 Bristol St Ste B203 Costa Mesa CA 92626-5948 | |
| (855) 867-5551 | |
| (562) 594-8557 |
| Full Name | Prohealth Partners A Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2900 Bristol St Ste B203, Costa Mesa, California |
| Authorized Official Name and Position | Barry Steven Allswang (PRESIDENT) |
| Authorized Official Contact | 5622995200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Partners A Medical Group Inc 2900 Bristol St # B203b205 Costa Mesa CA 92626-5981 Ph: (855) 867-5551 | Prohealth Partners A Medical Group Inc 2900 Bristol St Ste B203 Costa Mesa CA 92626-5948 Ph: (855) 867-5551 |
| NPI Number | 1639613359 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 04/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639613359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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