Most Relevant Information
Provider Data
| NPI Number: | 1003830118 |
| Provider Name: | JONATHAN ANDREW PRINCE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | A90191 |
Most Important Dates
| Enumeration Date: | 07/26/2006 |
| Last Updated: | 06/28/2012 |
Provider Practice Location
18321 CLARK ST
TARZANA
CA
913563501
Practice Location Phone/Fax
| Phone: | 8187085170 |
| Fax: | 8187052595 |
Provider Mailing Location
PO BOX 660640
ARCADIA
CA
910660640
Provider Mailing Phone/Fax
| Phone: | 6264470296 |
| Fax: | 6264476057 |