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PROHEALTH PARTNERS A MEDICAL GROUP INC. NPI 1720738164


NPI Information

NPI: 1720738164
Provider Name: PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Organization

Specialization: Forensic Psychiatry

CLIA Number: 05D2287704

Address:
2211 PALO VERDE AVE STE C
LONG BEACH, CA
ZIP 90815
Phone: (855) 867-5551
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PROHEALTH PARTNERS, A MEDICAL GROUP, INC. is a forensic psychiatry psychiatry neurology in Long Beach, CA. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. PROHEALTH PARTNERS, A MEDICAL GROUP, INC. NPI is 1720738164. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2211 PALO VERDE AVE STE C
LONG BEACH, CA
ZIP 90815-360
Phone: (855) 867-5551

The provider's authorized official is Barry Steven Allswang .
The authorized official title is President and has the following contact phone number (562) 299-5239.

The CLIA number assigned to this NPI record is 05D2287704 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2022 and was last updated on 3/28/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
22084F0202XPsychiatry & NeurologyForensic PsychiatryYes

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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