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IMAGE M.D.
NPI 1104978766
General Practice in N Hollywood, CA

Active since January 16, 2007
12805 VICTORY BLVD, N HOLLYWOOD, CA 91606(818) 506-5906 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Image M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAGE M.D. (NPI 1104978766) is a healthcare organization registered as a general practice in N Hollywood, California and active in the NPI registry since January 2007. The organization lists Clarence Sutton, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1104978766
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameIMAGE M.D.
Location Address12805 VICTORY BLVDN Hollywood, CA 91606-3012
Mailing Address12805 Victory BlvdN Hollywood, CA 91606-3012 · (818) 506-5906
Phone(818) 506-5906
Organization SubpartNo
Authorized OfficialClarence SuttonPhysician Owner · (818) 506-5906
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104978766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G74582
Definition
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
12805 VICTORY BLVD, N Hollywood, CA 91606
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PASCUAL MEDICAL CENTER INC
Family Medicine (Geriatric Medicine)
12805 VICTORY BLVD
N HOLLYWOOD, CA 91606
Los Angeles County (279) 260-4440
CLARENCE SUTTON
General Practice
12805 VICTORY BLVD
N HOLLYWOOD, CA 91606
Los Angeles County (818) 506-5906
NOHO MEDICAL CENTER INC
Clinic/Center (Primary Care)
12805 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (213) 293-2323
LILIYA MUNOZ FNP
Family Medicine
12805 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (279) 260-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Image M.D.'s NPI number?

The NPI number for Image M.D. is 1104978766. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Image M.D. located?

Image M.D. is located at 12805 Victory Blvd, N Hollywood, CA 91606. The listed phone number is (818) 506-5906.

What is Image M.D.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Image M.D. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.