Healthcare Provider Details

I. General information

NPI: 1538292404
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: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 HEMLOCK WAY STE 204
SANTA ANA CA
92707-3655
US

IV. Provider business mailing address

1220 HEMLOCK WAY STE 204
SANTA ANA CA
92707-3655
US

V. Phone/Fax

Practice location:
  • Phone: 714-617-2626
  • Fax: 714-422-0362
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

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