Organization
PROHEALTH PARTNERS A MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER FERRERA MD (PRESIDENT)
(562) 299-5200
Entity
Organization
Contact information
Practice address
5750 DOWNEY AVE STE 303, LAKEWOOD, CA 90712-1477
(562) 461-8584
(562) 529-7800
Mailing address
5750 DOWNEY AVE STE 303, LAKEWOOD, CA 90712-1477
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064158
—
CA
01
—
ZZZ47092Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/12/2007
Last updated
09/04/2025
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