Healthcare Provider Details

I. General information

NPI: 1851280846
Provider Name (Legal Business Name): PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 MAGNOLIA AVE STE 206
CORONA CA
92879-3332
US

IV. Provider business mailing address

341 MAGNOLIA AVE STE 206
CORONA CA
92879-3332
US

V. Phone/Fax

Practice location:
  • Phone: 951-554-5778
  • Fax: 951-268-6365
Mailing address:
  • Phone: 951-554-5778
  • Fax: 951-268-6365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER FERRERA
Title or Position: PRESIDENT
Credential: MD
Phone: 562-299-5200