MEDICARE: PROHEALTH INTERNAL MEDICINE, 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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1912772047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROHEALTH INTERNAL MEDICINE, INC

Provider Business Mailing Address
First Line	:	4312 WOODMAN AVE STE 300
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-5514
Country	:	US
Telephone Number	:	818-922-2129
Fax Number	:	818-922-2025

Provider Business Practice Location Address
First Line	:	4312 WOODMAN AVE STE 300
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-5514
Country	:	US
Telephone Number	:	818-922-2129
Fax Number	:	818-922-2025

Authorized Official
Title or Position	:	CEO
Name	:	ARSINEH ALMASI
Credential	:	FNP
Telephone Number	:	818-922-2129

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	10/27/2025

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