Prohealth Partners, a Medical Group, Inc.
Organization Active NPI Family Medicine Physician · Los Alamitos, CA
NPI 1710201801 · NPPES record last updated Feb 12, 2016
Key facts
- NPI
- 1710201801
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
- Practice address
- 3851 Katella Ave
Suite 275
Los Alamitos, CA 90720-3309 - Phone
- (562) 296-5528
- NPI assigned
- Mar 18, 2010
- Organization subpart
- No
Authorized official
- Name
- Barry S Allswang, MD
- Title
- President
- Phone
- (562) 299-5200
Corporate family (same tax ID) 24
Practitioners 3
-
Daniel Benhuri, MD
-
Mary Seiersen, RDE
-
Amer Zarka, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031211000927 | CA | Part B Supplier - Clinic/Group Practice | 2769388412 |
Receives reassigned benefits from 296 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Prohealth Partners a M
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3851 Katella Ave
Suite 275
Los Alamitos, CA 90720-3309
Mailing address
5150 E Pacific Coast Hwy
Suite 500
Long Beach, CA 90804-3312
Other providers in Los Alamitos, CA
- Prohealth Partners a Medical Group Inc
- Prohealth Partners a Medical Group Inc
- Prohealth Partners, a Medical Group, Inc.
- Prohealth Partners, a Medical Group, Inc.
- Prohealth Partners, a Medical Group, Inc.
- Promed DME, Inc.
- Providence Community Services
- Monica Mariana Puente
- Marie Puffpaff
- Robert Glenn Pugach
All providers in Los Alamitos, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.