Healthcare Provider Details

I. General information

NPI: 1215060199
Provider Name (Legal Business Name): PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 PALO VERDE AVE STE 203
LONG BEACH CA
90808-4132
US

IV. Provider business mailing address

3325 PALO VERDE AVE STE 203
LONG BEACH CA
90808-4132
US

V. Phone/Fax

Practice location:
  • Phone: 562-377-1111
  • Fax:
Mailing address:
  • Phone: 562-377-1111
  • Fax:

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 Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

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