PROHEALTH PARTNERS A MEDICAL GROUP INC. NPI 1821121542

NPI Information

NPI: 1821121542
Provider Name: PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0994467

Address:
5865 E NAPLES PLZ
LONG BEACH, CA
ZIP 90803
Phone: (562) 434-4481
Get Directions

PROHEALTH PARTNERS, A MEDICAL GROUP, INC. is a family medicine in Long Beach, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROHEALTH PARTNERS, A MEDICAL GROUP, INC. NPI is 1821121542. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5865 E NAPLES PLZ
LONG BEACH, CA
ZIP 90803-040
Phone: (562) 434-4481
Fax: (562) 434-5713

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 CLIA number assigned to this NPI record is 05D0994467 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/13/2007 and was last updated on 9/25/2007.

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	207Q00000X	Family Medicine				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	ZZZ00163Z	OTHER	CALIFORNIA	BLUE SHIELD GROUP NUMBER
2	GR006415Q	MEDICAID	CALIFORNIA
3	W13421HH	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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