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PROHEALTH PARTNERS A MEDICAL GROUP
NPI 1558030635
Internal Medicine in Long Beach, CA

Active since September 10, 2021CLIA 05D2008958 · Waiver
1777 N BELLFLOWER BLVD STE 101, LONG BEACH, CA 90815(562) 986-6138(562) 986-6382 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prohealth Partners A Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROHEALTH PARTNERS A MEDICAL GROUP (NPI 1558030635) is a healthcare organization registered as an internal medicine in Long Beach, California and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Barry Steven Allswang, Coo, as its authorized official.

NPPES Registry Identity

NPI1558030635
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROHEALTH PARTNERS A MEDICAL GROUP
Location Address1777 N BELLFLOWER BLVD STE 101Long Beach, CA 90815-4019
Mailing Address1777 N Bellflower Blvd Ste 101Long Beach, CA 90815-4019 · (562) 986-6138 · Fax (562) 986-6382
Phone(562) 986-6138
Fax(562) 986-6382
Organization SubpartNo
Authorized OfficialBarry Steven AllswangCoo · (562) 299-5239
Enumeration DateSeptember 10, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1558030635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1777 N BELLFLOWER BLVD STE 101, Long Beach, CA 90815
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2008958

Prohealth Partners A Medical Group Inc · Long Beach, CA
Active · expires Jun 21, 2028
CLIA Number05D2008958
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorVannarith So
Laboratory Phone(562) 986-6138
Laboratory LocationProhealth Partners A Medical Group Inc1777 Bellflower Blvd Suite 101, Long Beach, CA 90815
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prohealth Partners A Medical Group's NPI number?

The NPI number for Prohealth Partners A Medical Group is 1558030635. It was assigned to this organization in the NPPES registry on September 10, 2021.

Where is Prohealth Partners A Medical Group located?

Prohealth Partners A Medical Group is located at 1777 N Bellflower Blvd Ste 101, Long Beach, CA 90815. The listed phone number is (562) 986-6138.

What is Prohealth Partners A Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Prohealth Partners A Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2008958) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prohealth Partners A Medical Group was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.