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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
1045 ATLANTIC AVE STE 1019, LONG BEACH, CA 90813
(562) 901-9228
(562) 437-5103
Mailing address
1045 ATLANTIC AVE STE 1019, LONG BEACH, CA 90813-3413
(562) 901-9228
(562) 437-5103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064154
—
CA
01
—
ZZZ51209Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/13/2007
Last updated
08/16/2018
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