MEDICARE: PROHEALTH PARTNERS A MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207N00000X	Dermatology Physician
3	207RR0500X	Rheumatology Physician
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1093848509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROHEALTH PARTNERS A MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	6261 KATELLA AVE STE 200
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-5249
Country	:	US
Telephone Number	:	562-299-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5750 DOWNEY AVE
Second Line	:	SUITE 100
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-1405
Country	:	US
Telephone Number	:	562-630-3105
Fax Number	:	562-630-3853

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PETER FERRERA
Credential	:	MD
Telephone Number	:	562-299-5200

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	12/12/2025

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