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
1045 ATLANTIC AVENUE, SUITE 611, LONG BEACH, CA 90813
(562) 437-2801
(562) 432-0111
Mailing address
1045 ATLANTIC AVE STE 611, LONG BEACH, CA 90813-3414
(562) 432-0111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0015761
—
CA
01
—
ZZZ69885Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/09/2007
Last updated
09/04/2025
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