Organization
PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY ALLSWANG MD (PRESIDENT)
(562) 299-5239
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE STE 214, LONG BEACH, CA 90804-2169
(562) 595-4718
(562) 591-7323
Mailing address
1045 ATLANTIC AVE, SUITE 705, LONG BEACH, CA 90813-3408
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR006415A
—
CA
01
—
ZZZ51266Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/12/2007
Last updated
06/24/2020
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