| Prohealth Partners A Medical Group Inc | |
|
16300 Sand Canyon Ave Ste 488 Irvine CA 92618-3711 | |
| (949) 655-8880 | |
| (949) 655-8883 |
| Full Name | Prohealth Partners A Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 16300 Sand Canyon Ave Ste 488, 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 16300 Sand Canyon Ave Ste 488 Irvine CA 92618-3711 Ph: (949) 655-8880 |
| NPI Number | 1619321791 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619321791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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