| Prohealth Partners A Medical Group | |
|
11180 Warner Ave Ste 353 Fountain Valley CA 92708-7516 | |
| (714) 406-0185 | |
| (310) 763-7573 |
| Full Name | Prohealth Partners A Medical Group |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 11180 Warner Ave Ste 353, Fountain Valley, California |
| Authorized Official Name and Position | Barry Steven Allswang (COO) |
| Authorized Official Contact | 5622995239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Partners A Medical Group 11180 Warner Ave Ste 353 Fountain Valley CA 92708-7516 Ph: (714) 406-0185 | Prohealth Partners A Medical Group 11180 Warner Ave Ste 353 Fountain Valley CA 92708-7516 Ph: (714) 406-0185 |
| NPI Number | 1023680204 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023680204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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