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NPI Code Detail

MEDICARE: PROHEALTH PARTNERS A MEDICAL GROUP INC

MEDICARE: PROHEALTH PARTNERS A MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1730212432
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROHEALTH PARTNERS A MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 2888 LONG BEACH BLVD STE 325
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-7503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2888 LONG BEACH BLVD STE 325
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-7503
Country : US
Telephone Number : 562-426-4904
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BARRY ALLSWANG
Credential : MD
Telephone Number : 562-299-5200
Provider Enumeration Date : 03/13/2007
Last Update Date : 09/11/2025

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Directions to “PROHEALTH PARTNERS A MEDICAL GROUP INC ” Practice Location

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