EAST HOLLYWOOD MEDICAL ASSOCIATES, INC.
NPI 1174718704
Internal Medicine - Geriatric Medicine in Hollywood, FL

NPI Status: Active since September 06, 2007

Contact Information

3702 WASHINGTON ST STE 205
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 926-2900
Fax: (954) 926-2956

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  • Organization
  • Internal Medicine
  • Geriatric Medicine
  • CLIA Number: 10D0717297
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About EAST HOLLYWOOD MEDICAL ASSOCIATES, INC.

This page provides the complete NPI Profile along with additional information for East Hollywood Medical Associates, Inc., an internist established in Hollywood, Florida operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1174718704 assigned on September 2007. The practitioner's primary taxonomy code is 207RG0300X with license number ME0041495 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Manuel Iribar M.d (President)

NPI
1174718704
Provider Name
EAST HOLLYWOOD MEDICAL ASSOCIATES, INC.
Entity Type
Organization
Location Address
3702 WASHINGTON ST STE 205 HOLLYWOOD, FL 33021
Location Phone
(954) 926-2900
Location Fax
(954) 926-2956
Mailing Address
3702 WASHINGTON ST STE 205 HOLLYWOOD, FL 33021
Mailing Phone
(954) 926-2900
Mailing Fax
(954) 926-2956
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2007
Last Update Date
08-23-2024
Code Navigator

An internist like East Hollywood Medical Associates, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
License No.
ME0041495
License State
FL
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MANUEL IRIBAR M.D

Authorized Official Title
PRESIDENT
Authorized Official Phone
(954) 926-2900

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0717297
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
ISABEL SOUFFRONT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to East Hollywood Medical Associates, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174718704, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 4 + 1 + 1 + 6 + 7 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1174718704.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174718704, enumerated as an "organization" on September 06, 2007.

The provider is located at 3702 WASHINGTON ST STE 205 HOLLYWOOD, FL 33021 and the phone number is (954) 926-2900.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.