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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
ROBERT LUGLIANI MD (PRESIDENT)
(562) 491-9281
Entity
Organization
Contact information
Practice address
5865 E NAPLES PLZ, LONG BEACH, CA 90803-5040
(562) 434-4481
(562) 434-5713
Mailing address
1045 ATLANTIC AVE, SUITE 705, LONG BEACH, CA 90813-3408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR006415Q
—
CA
01
—
ZZZ00163Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/13/2007
Last updated
09/25/2007
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