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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

NPI # 1447515911
LBN Legal business name PROPRIUS HEALTH MEDICAL GROUP PC
Authorized official ANDREI DOKUKIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2012
Last updated 08/28/2025 - About 9 months ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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