Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Hollywood Internal Medicine Clinic Inc

Organization Family Medicine Physician · NPI 1780449744

Hollywood Internal Medicine Clinic Inc provides Family Medicine Physician services 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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