| Prohealth Partners A Medical Group Inc | |
|
113 Waterworks Way Ste 350 Irvine CA 92618-3172 | |
| (714) 848-3333 | |
| (714) 848-3301 |
| Full Name | Prohealth Partners A Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 113 Waterworks Way Ste 350, Irvine, California |
| Authorized Official Name and Position | Barry S 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 5150 E Pacific Coast Hwy Suite 500 Long Beach CA 90804-3312 Ph: () - | Prohealth Partners A Medical Group Inc 113 Waterworks Way Ste 350 Irvine CA 92618-3172 Ph: (714) 848-3333 |
| NPI Number | 1497169494 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497169494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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