OrganizationProhealth Partners A Medical GroupInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8631 W 3rd St Ste 540e, Los Angeles, CA 90048-5901(310) 424-5750PECOS EnrollmentBased on the most recent information from CMS, provider Prohealth Partners A Medical Group does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1881007524Provider TypeOrganizationFull NameProhealth Partners A Medical GroupSubpartNoEnumeration Date6/10/2014Last Updated6/27/2023Contact InformationPractice LocationPractice Address8631 W 3rd St Ste 540e, Los Angeles, CA 90048-5901Phone(310) 424-5750FaxUnlisted FaxMailing LocationMailing Address5150 E Pacific Coast Hwy, Suite 500, Long Beach, CA 90804-3312PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameAllswang, Barry S (President)Phone(562) 299-5200Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer