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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 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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