| Prohealth Partners, A Medical Group, Inc. | |
|
1760 Termino Ave Ste 214 Long Beach CA 90804-2169 | |
| (562) 595-4718 | |
| (562) 591-7323 |
| Full Name | Prohealth Partners, A Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1760 Termino Ave Ste 214, Long Beach, California |
| Authorized Official Name and Position | Barry Allswang (PRESIDENT) |
| Authorized Official Contact | 5622995239 |
| 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. 1760 Termino Ave Ste 214 Long Beach CA 90804-2169 Ph: (562) 595-4718 |
| NPI Number | 1134251192 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134251192 | NPI | - | NPPES |
| GR006415A | Medicaid | CA | |
| ZZZ51266Z | Other | CA | BLUE SHIELD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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