| Inle Medical Group | |
|
23586 Calabasas Rd Ste 107 Calabasas CA 91302-1334 | |
| (323) 457-4541 | |
| Not Available |
| Full Name | Inle Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 23586 Calabasas Rd Ste 107, Calabasas, California |
| Authorized Official Name and Position | Jonathan Prince (CEO) |
| Authorized Official Contact | 6465283261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inle Medical Group Po Box 573304 Tarzana CA 91357-3304 Ph: (323) 457-4541 | Inle Medical Group 23586 Calabasas Rd Ste 107 Calabasas CA 91302-1334 Ph: (323) 457-4541 |
| NPI Number | 1316568348 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Certification Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316568348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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