Organization · Type 2 NPI

Prohealth Partners A Medical Group Inc

Otolaryngology Physician · San Pedro, CA

NPI number 1962716415 Active

Practice location

350 W 5th St, Suite 209
San Pedro, CA 90731-2737

Mailing address

350 W 5th St Ste 209
San Pedro, CA 90731-2752

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1962716415

Prohealth Partners A Medical Group Inc's National Provider Identifier is 1962716415, issued on Jul 27, 2010. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in San Pedro, CA. The record was last updated on Sep 5, 2025.