Organization
INLE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PRINCE MD (CEO)
(646) 528-3261
Entity
Organization
Contact information
Practice address
23586 CALABASAS RD STE 107, CALABASAS, CA 91302-1334
(323) 457-4541
Mailing address
PO BOX 573304, TARZANA, CA 91357-3304
(323) 457-4541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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