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 5979 Atlantic Ave , Long Beach CA 90805-3510. 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) 423-0421, or through Lugliani, Robert via phone (562) 491-9281.

Contact Information

Primary practice address
5979 Atlantic Ave Long Beach CA 90805-3510
Fax: (562) 423-1032
Website:
Authorized official contact:
Name: Lugliani, Robert Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1770616401
LBN Legal business name Prohealth Partners, A Medical Group, Inc.
DBA Doing business as
Authorized official Lugliani, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Sep 25th, 2007 - about 18 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 1770616401 NPPES
California Other ZZZ61803Z BLUE SHIELD GROUP NUMBER
California MEDICAID GR0064150 BLUE SHIELD GROUP NUMBER

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