05D1000821 CLIA NUMBER - PROHEALTH PARTNERS A MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D1000821

Facility Name: PROHEALTH PARTNERS A MEDICAL GROUP INC

Facility Address:
1777 BELLFLOWER BLVD SUITE 201
LONG BEACH, CA
ZIP 90815
Get Directions

Facility Phone Number: 562 961-9991

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154453108

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D1000821
LAB Type	Physician Office
Facility Name	PROHEALTH PARTNERS A MEDICAL GROUP INC
Street	1777 BELLFLOWER BLVD SUITE 201
City	LONG BEACH
State	CA
ZIP	90815
Phone	562 961-9991
CertificateType	4
CertificateEffectiveDate	6/24/2022
CertificateExpirationDate	6/23/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024