Prohealth Partners, A Medical Group, Inc.

LBN: Prohealth Partners, A Medical Group, Inc.
Prohealth Partners, A Medical Group, Inc. is an health care organization with primary practice located at 911 E San Antonio Dr Ste 1 , Long Beach CA 90807-2204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Prohealth Partners, A Medical Group, Inc. can be contacted via phone (562) 728-8700, or through Allswang, Barry via phone (562) 299-5200.

Contact Information

Primary practice address
911 E San Antonio Dr Ste 1 Long Beach CA 90807-2204
Fax: (562) 728-5855
Website:
Authorized official contact:
Name: Allswang, Barry Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1114050218
LBN Legal business name Prohealth Partners, A Medical Group, Inc.
DBA Doing business as
Authorized official Allswang, Barry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Jan 31st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114050218 NPPES
California MEDICAID GR006415Z
California Other ZZZ66256Z

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