Inle Medical Group

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

INLE MEDICAL GROUP

Practice address

23586 Calabasas Rd Ste 107
Calabasas, CA 91302-1334

Phone

(323) 457-4541

NPI assigned

Apr 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Prince, MD

Title

Ceo

Phone

(646) 528-3261

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aneta Lotakov Prince, MD

  • Psychiatry Physician
  • Granada Hills, CA
  • NPI 1295864536
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1316568348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573304",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913573304",
            "telephone_number": "323-457-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23586 CALABASAS RD STE 107",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021334",
            "telephone_number": "323-457-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-528-3261",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Dailey Howard, LCSW,PPSC, CWA
• Brandy Hughes
• Elaine T. Hyland, M.A.
• Wayne Imber, M.D.
• Industrial Physical Therapy Inc.
• Innovate Psychology Inc
• Integral Advanced Nursing Services Corporation
• Integrative Skin and Beauty Inc
• Abu Bakkar Iqbal
• Valentina Ira, PMHNP

• Psychiatry Physician in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.