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Organization
PROHEALTH PARTNERS A MEDICAL GROUP INC
Active
Organization
PROHEALTH PARTNERS A MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER FERRERA MD (PRESIDENT)
(562) 299-5200
Entity
Organization
Contact information
Practice address
911 E SAN ANTONIO DR, SUITE 6, LONG BEACH, CA 90807-2204
(562) 423-6441
(562) 422-1301
Mailing address
911 E SAN ANTONIO DR STE 6, LONG BEACH, CA 90807-2204
(562) 423-6441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064152
—
CA
01
—
ZZZ47082Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/14/2007
Last updated
09/04/2025
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