Prohealth Partners, A Medical Group | |
3320 N Los Coyotes Diagonal Ste 260 Long Beach CA 90808-3939 | |
(562) 420-8679 | |
(562) 421-3288 |
Full Name | Prohealth Partners, A Medical Group |
---|---|
Speciality | Internal Medicine |
Location | 3320 N Los Coyotes Diagonal Ste 260, Long Beach, 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 3320 N Los Coyotes Diagonal Ste 260 Long Beach CA 90808-3939 Ph: (562) 420-8679 | Prohealth Partners, A Medical Group 3320 N Los Coyotes Diagonal Ste 260 Long Beach CA 90808-3939 Ph: (562) 420-8679 |
NPI Number | 1942332937 |
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Provider Enumeration Date | 03/12/2007 |
Last Update Date | 01/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942332937 | NPI | - | NPPES |
ZZZ07344Z | Other | CA | BLUE SHIELD GROUP NUMBER |
GR006415T | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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