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Contact Information

PROPRIUS HEALTH MEDICAL GROUP PC
3939 ATLANTIC AVE STE 223
LONG BEACH, CA90807
 Phone: 562-583-9345
 Fax: 949-502-8887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for PROPRIUS HEALTH MEDICAL GROUP PC · (Female)

NPI # 1447515911
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2012
Last updated 08/28/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A110631
  • CA Other ZZZ70684Y BLUE SHIELD OF CALIFORNIA GROUP PROVIDER NUMBER
  • CA Other CLR00343337 CA CLINICAL LAB REGISTRATION
  • CA Other 43221 CA MEDICAL BOARD- FICTITIOUS NAME PERMIT
  • CA Other BU21223680 CITY OF LONG BEACH BUSINESS LICENSE
  • CA Other 05D2048806 CLIA WAIVED CERTIFICATE
  • CA Other C3423023 SECRETARY OF STATE CORPORATION NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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