Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prohealth Partners a Medical Group Inc

Organization Dermatology Physician · NPI 1093848509

Prohealth Partners a Medical Group Inc is a Dermatology Physician in Lakewood, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5750 Downey Ave Ste 100
Lakewood, CA 90712-1405
Phone: (562) 630-3105
Fax: (562) 630-3853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Rheumatology Physician Taxonomy 207RR0500X

Record details

NPI number1093848509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Ferrera — President · (562) 299-5200
NPI enumeratedMarch 13, 2007
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address6261 Katella Ave Ste 200, Cypress, CA 90630-5249

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