Prohealth Partners, A Medical Group, Inc. | |
5865 E Naples Plz Long Beach CA 90803-5040 | |
(562) 434-4481 | |
(562) 434-5713 |
Full Name | Prohealth Partners, A Medical Group, Inc. |
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Speciality | Family Medicine |
Location | 5865 E Naples Plz, 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 |
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Prohealth Partners, A Medical Group, Inc. 1045 Atlantic Ave Suite 705 Long Beach CA 90813-3408 Ph: () - | Prohealth Partners, A Medical Group, Inc. 5865 E Naples Plz Long Beach CA 90803-5040 Ph: (562) 434-4481 |
NPI Number | 1821121542 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 09/25/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821121542 | NPI | - | NPPES |
GR006415Q | Medicaid | CA | |
ZZZ00163Z | Other | CA | BLUE SHIELD GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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