PROHEALTH PARTNERS A MEDICAL GROUP NPI 1619009677

NPI Information

NPI: 1619009677
Provider Name: PROHEALTH PARTNERS, A MEDICAL GROUP
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
5750 DOWNEY AVE STE 303
LAKEWOOD, CA
ZIP 90712
Phone: (562) 461-8584
Get Directions

PROHEALTH PARTNERS, A MEDICAL GROUP is a gastroenterology internal medicine in Lakewood, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PROHEALTH PARTNERS, A MEDICAL GROUP NPI is 1619009677. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5750 DOWNEY AVE STE 303
LAKEWOOD, CA
ZIP 90712-477
Phone: (562) 461-8584
Fax: (562) 529-7800

The provider's authorized official is Robert Lugliani .
The authorized official title is President and has the following contact phone number (562) 491-9281.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 11/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W13421G	MEDICARE PIN	CALIFORNIA
2	ZZZ47092Z	OTHER	CALIFORNIA	BLUE SHIELD GROUP NUMBER
3	GR0064158	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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