| Prohealth Partners A Medical Group Inc | |
|
1042 San Bernardino Rd Upland CA 91786-4921 | |
| (909) 524-1940 | |
| (909) 524-1943 |
| Full Name | Prohealth Partners A Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1042 San Bernardino Rd, Upland, California |
| Authorized Official Name and Position | Barry Steven 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 1042 San Bernardino Rd Upland CA 91786-4921 Ph: (909) 524-1940 |
| NPI Number | 1962956094 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962956094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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