Dr. Jonathan Andrew Prince
Emergency Physician
18321 Clark St
Tarzana
, California 91356-3501
Dr. Jonathan Andrew Prince
Emergency Physician
18321 Clark St
Tarzana
, California 91356-3501
(626) 447-6057
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Jonathan Andrew Prince
- Po Box 660640
- Arcadia, CA
- Zip : 91066-0640
- Fax : (626) 447-6057
- Phone : (626) 447-0296
Second Address
- Dr. Jonathan Andrew Prince
- 18321 Clark St
- Tarzana, CA
- Zip : 91356-3501
- Fax : (818) 705-2595
- Phone : (818) 708-5170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | A90191 | CA |
National Provider Identifier
| NPI | 1003830118 |
|---|---|
| Provider Name | Dr. Jonathan Andrew Prince |
| First Address | Arcadia, CA 91066-0640 |
| Second Address | Tarzana, CA 91356-3501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 28/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A901910 | (05) | CA |
| I35183 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.