Organization
PROHEALTH PARTNERS A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY STEVEN ALLSWANG MD (COO)
(562) 299-5239
Entity
Organization
Contact information
Practice address
11180 WARNER AVE STE 353, FOUNTAIN VALLEY, CA 92708-7516
(714) 406-0185
(310) 763-7573
Mailing address
11180 WARNER AVE STE 353, FOUNTAIN VALLEY, CA 92708-7516
(714) 406-0185
(310) 763-7573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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