Hollywood Medical Center
General Practice in Los Angeles, CA. Organization (NPI-2).
NPI number1093690117
StatusActive
Last updated in NPPESAug 7, 2025
Details
- NPI
- 1093690117
- Entity type
- Organization (NPI-2)
- Legal business name
- Hollywood Medical Center
- Organization subpart
- No
- Enumeration date
- Aug 7, 2025
- Certification date
- Aug 7, 2025
- Last updated
- Aug 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
5101 Santa Monica Blvd Ste 4Los Angeles, CA 90029-2478
Phone 323-705-5552
Mailing address
5101 Santa Monica Blvd Ste 4Los Angeles, CA 90029-2478
Phone 323-705-5552
Authorized official
Nolan Carthell Jones
Ceo, Cfo, Secretary
4246445718
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