Organization
PROHEALTH PARTNERS, A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY STEVEN ALLSWANG MD (PRESIDENT)
(562) 299-5239
Entity
Organization
Contact information
Practice address
5750 DOWNEY AVE STE 202, LAKEWOOD, CA 90712-1470
(562) 634-4939
(562) 634-5809
Mailing address
5150 E PACIFIC COAST HWY STE 500, LONG BEACH, CA 90804-3328
(562) 299-5200
(562) 299-5294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
207RI0008X
Hepatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ13307Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/13/2007
Last updated
08/17/2020
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