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PROHEALTH PARTNERS A MEDICAL GROUP INC NPI 1730212432


NPI Information

NPI: 1730212432
Provider Name: PROHEALTH PARTNERS A MEDICAL GROUP INC
Classification:
Entity Type: Organization

CLIA Number: 05D2268501

Address:
2888 LONG BEACH BLVD STE 325
LONG BEACH, CA
ZIP 90806
Phone: (562) 426-4904
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PROHEALTH PARTNERS A MEDICAL GROUP INC is a healthcare provider in Long Beach, CA. PROHEALTH PARTNERS A MEDICAL GROUP INC NPI is 1730212432. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2888 LONG BEACH BLVD STE 325
LONG BEACH, CA
ZIP 90806-503
Phone: (562) 426-4904

The provider's authorized official is Barry Allswang .
The authorized official title is President and has the following contact phone number (562) 299-5200.

The CLIA number assigned to this NPI record is 05D2268501 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 2/1/2023.


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
1207R00000XInternal MedicineNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.