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 300 Redondo Ave , Long Beach CA 90814-2651. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Prohealth Partners A Medical Group Inc can be contacted via phone (562) 433-7496, or through Allswang, Barry Steven via phone (562) 299-5200.
Contact Information
Primary practice address
300 Redondo Ave
Long Beach CA 90814-2651
Phone: (562) 433-7496
Fax: (562) 987-9206
Website:
Authorized official contact:
Name: Allswang, Barry Steven Doctor of Medicine (MD)
Phone: (562) 299-5200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1447382411 |
|---|---|
| LBN Legal business name | Prohealth Partners A Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Allswang, Barry Steven Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447382411 | NPPES |
| California | Other | ZZZ47088Z | BLUE SHIELD GROUP NUMBER |
| California | MEDICAID | GR0064153 | BLUE SHIELD GROUP NUMBER |
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