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General NPI Number Information
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NPI Number | 1215060199
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Entity Type | Organization
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Legal Business Name | PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3325 PALO VERDE AVE STE 203
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City | LONG BEACH
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State | CA
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Zip | 90808-4132
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Country | US
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Telephone | 562-377-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 PALO VERDE AVE STE 203
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City | LONG BEACH
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State | CA
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Zip | 90808-4132
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Country | US
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Telephone | 562-377-1111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER FERRERA
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Credential | MD
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Telephone | 562-299-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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