HOLLYWOOD MEDICAL CENTER NPI 1093690117

NPI Information

  • NPI: 1093690117
  • Provider Name: HOLLYWOOD MEDICAL CENTER
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 5101 SANTA MONICA BLVD STE 4
    LOS ANGELES, CA
    ZIP 90029
  • Phone: (323) 705-5552

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NPI Details

HOLLYWOOD MEDICAL CENTER is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HOLLYWOOD MEDICAL CENTER NPI is 1093690117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5101 SANTA MONICA BLVD STE 4
LOS ANGELES, CA
ZIP 90029-478
Phone: (323) 705-5552

The provider's authorized official is Nolan Carthell Jones .
The authorized official title is Ceo, Cfo, Secretary and has the following contact phone number (424) 644-5718.

The enumeration date for this NPI number is 8/7/2025 and was last updated on 8/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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