Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hollywood Internal Medicine Clinic Inc

Organization Family Medicine Physician · NPI 1780449744

Hollywood Internal Medicine Clinic Inc is a Family Medicine Physician in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5101 Hollywood Blvd
Los Angeles, CA 90027-6105
Phone: (323) 426-9139
Fax: (323) 426-9140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1780449744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Crudo — Ceo/President · (323) 426-9139
NPI enumeratedFebruary 19, 2024
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address5101 Hollywood Blvd, Los Angeles, CA 90027-6105

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