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

Image MD

Organization General Practice Physician · NPI 1104978766

Image MD is a General Practice Physician in N Hollywood, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

12805 Victory Blvd
N Hollywood, CA 91606-3012
Phone: (818) 506-5906
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G74582 (CA)

Record details

NPI number1104978766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clarence Sutton — Physician Owner · (818) 506-5906
NPI enumeratedJanuary 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12805 Victory Blvd, N Hollywood, CA 91606-3012

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