Proprius Health Medical Group Pc

LBN: Proprius Health Medical Group Pc
Proprius Health Medical Group Pc is an health care organization with primary practice located at 3939 Atlantic Ave Ste 223 , Long Beach CA 90807. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Proprius Health Medical Group Pc can be contacted via phone (562) 633-1765, or through Dokukin, Andrei N via phone (917) 647-5031.

Contact Information

Primary practice address
3939 Atlantic Ave Ste 223 Long Beach CA 90807
Phone: (562) 633-1765
Fax: (949) 502-8887
Website:
Map and Directions
Authorized official contact:
Name: Dokukin, Andrei N Doctor of Medicine (MD)
Phone: (917) 647-5031

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A110631 California

Profile Details

NPI number 1447515911
LBN Legal business name Proprius Health Medical Group Pc
DBA Doing business as
Authorized official Dokukin, Andrei N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2012
Last updated Dec 3rd, 2019 - 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 1447515911 NPPES
California Other 05D2048806 CLIA WAIVED CERTIFICATE
California Other C3423023 CLIA WAIVED CERTIFICATE
California Other ZZZ70684Y CLIA WAIVED CERTIFICATE
California Other 43221 CLIA WAIVED CERTIFICATE
California Other CLR00343337 CLIA WAIVED CERTIFICATE
California Other BU21223680 CLIA WAIVED CERTIFICATE

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