| Prohealth Partners A Medical Group Inc | |
|
5750 Downey Ave Ste 303 Lakewood CA 90712-1477 | |
| (562) 461-8584 | |
| (562) 529-7800 |
| Full Name | Prohealth Partners A Medical Group Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5750 Downey Ave Ste 303, Lakewood, California |
| Authorized Official Name and Position | Peter Ferrera (PRESIDENT) |
| Authorized Official Contact | 5622995200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Partners A Medical Group Inc 5750 Downey Ave Ste 303 Lakewood CA 90712-1477 Ph: () - | Prohealth Partners A Medical Group Inc 5750 Downey Ave Ste 303 Lakewood CA 90712-1477 Ph: (562) 461-8584 |
| NPI Number | 1619009677 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619009677 | NPI | - | NPPES |
| GR0064158 | Medicaid | CA | |
| ZZZ47092Z | Other | CA | BLUE SHIELD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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