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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 STEVEN ALLSWANG MD (PRESIDENT)
(562) 299-5200
Entity
Organization
Contact information
Practice address
300 REDONDO AVE, LONG BEACH, CA 90814-2651
(562) 433-7496
(562) 987-9206
Mailing address
300 REDONDO AVE, LONG BEACH, CA 90814-2651
(562) 433-7496
(562) 987-9206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064153
—
CA
01
—
ZZZ47088Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/12/2007
Last updated
10/04/2018
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