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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
BARRY ALLSWANG MD (PRESIDENT)
(562) 299-5200
Entity
Organization
Contact information
Practice address
911 E SAN ANTONIO DR STE 1, LONG BEACH, CA 90807-2204
(562) 728-8700
(562) 728-5855
Mailing address
911 E SAN ANTONIO DR STE 1, LONG BEACH, CA 90807-2204
(562) 728-8700
(562) 728-5855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR006415Z
—
CA
01
—
ZZZ66256Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/14/2007
Last updated
01/31/2018
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