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PROHEALTH PARTNERS A MEDICAL GROUP INC
NPI 1730519927
Family Medicine in Hawaiian Gardens, CA

Active since November 25, 2013CLIA 05D0994148 · Waiver
12321 CARSON ST STE 1, HAWAIIAN GARDENS, CA 90716(562) 809-0299 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2025, Dec 23, 2024 (2 updates tracked since 2024).

About Prohealth Partners A Medical Group Inc NPPES

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

PROHEALTH PARTNERS A MEDICAL GROUP INC (NPI 1730519927) is a healthcare organization registered as a family medicine in Hawaiian Gardens, California and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through December 4, 2027, maintains a secondary practice location in Hawaiian Gardens, and lists Barry S. Allswang, President, as its authorized official.

NPPES Registry Identity

NPI1730519927
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH PARTNERS A MEDICAL GROUP INC
Location Address12321 CARSON ST STE 1Hawaiian Gardens, CA 90716-1818
Mailing Address5150 E Pacific Coast Hwy, Suite 500Long Beach, CA 90804-3312
Phone(562) 809-0299
Organization SubpartNo
Authorized OfficialBarry S. AllswangPresident · (562) 299-5200
Enumeration DateNovember 25, 2013
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1730519927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12321 CARSON ST STE 1, Hawaiian Gardens, CA 90716
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Secondary Practice Location 1

Location 112131 Carson StHawaiian Gardens, CA 90716-1154 · Phone (562) 809-0299

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 05D0994148

Prohealth Partners A Medical Group, Inc · Hawaiian Gardens, CA
Active · expires Dec 4, 2027
CLIA Number05D0994148
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorDaniel Matemotja
Laboratory Phone(562) 809-0299
Laboratory LocationProhealth Partners A Medical Group, Inc12321 Carson St, Ste 1, Hawaiian Gardens, CA 90716
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is PROHEALTH PARTNERS A MEDICAL GROUP INC's NPI number?

The NPI number assigned to this healthcare provider is 1730519927, enumerated as an "organization" on November 25, 2013.

Where is the provider located?

The provider is located at 12321 CARSON ST STE 1 HAWAIIAN GARDENS, CA 90716 and the phone number is (562) 809-0299.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.