Prohealth Partners A Medical Group

Orthopedic Surgery · Long Beach, CA

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At a glance

1040 Elm Ave, Long Beach, CA 90813-3264

NPPES record updated Apr 30, 2018. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1040 Elm Ave Suite 100
Long Beach, CA 90813-3264
Professional details: NPI, taxonomy & registry record
NPI1265982359
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Registry details

Primary taxonomy
Orthopedic Surgery
Taxonomy code
207X00000X
Enumeration date
Oct 12, 2016
Record updated
Apr 30, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207RG0100X

Orthopedic Surgery

207X00000X · Primary

Surgery

208600000X

Specialty details in registry

2086S0129X

Specialty details in registry

2251S0007X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1040 Elm Ave
Suite 100
Long Beach, CA 90813-3264
Phone
(562) 591-4444
Mailing address
1040 ELM AVE STE 100

LONG BEACH, CA 908133265
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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