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Jonathan Prince M.D. NPI 1003830118

Classification
Emergency Medicine
Type
License No.
A90191
License State
CA
Certified
Location

Additional Identifiers

Medical School
OTHER
Graduation Year
2001
Identifier
Type
State
Identifier: I35183
Type: MEDICARE UPIN (02)
State: CA
Identifier: WA90191B
Type: MEDICARE PIN (08)
State: CA
Identifier: WA90191A
Type: MEDICARE PIN (08)
State: CA
Identifier: 00A901910
Type: MEDICAID (05)
State: CA

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
18321 CLARK ST, TARZANA, CA, 913563501
Business Phone
818-708-5170
Mailing Address
PO BOX 660640, ARCADIA, CA, 910660640
Mailing Phone
626-447-0296
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