Provider Demographics
NPI:1669276200
Name:PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Entity type:Organization
Organization Name:PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:ALLSWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-299-5239
Mailing Address - Street 1:8900 BOLSA AVE STE D
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5475
Mailing Address - Country:US
Mailing Address - Phone:657-666-3125
Mailing Address - Fax:
Practice Address - Street 1:8900 BOLSA AVE STE D
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5475
Practice Address - Country:US
Practice Address - Phone:657-666-3125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROHEALTH PARTNERS, A MEDICAL GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty