| Prohealth Partners, A Medical Group, Inc. | |
|
911 E San Antonio Dr Suite 6 Long Beach CA 90807-2204 | |
| (562) 423-6441 | |
| (562) 422-1301 |
| Full Name | Prohealth Partners, A Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 911 E San Antonio Dr, Long Beach, California |
| Authorized Official Name and Position | Robert Lugliani (PRESIDENT) |
| Authorized Official Contact | 5624919281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Partners, A Medical Group, Inc. 1045 Atlantic Ave Suite 705 Long Beach CA 90813-3408 Ph: () - | Prohealth Partners, A Medical Group, Inc. 911 E San Antonio Dr Suite 6 Long Beach CA 90807-2204 Ph: (562) 423-6441 |
| NPI Number | 1023141124 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023141124 | NPI | - | NPPES |
| ZZZ47082Z | Other | CA | BLUE SHIELD GROUP NUMBER |
| GR0064152 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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