Image M.D. is a General Practice in N Hollywood, California. Image M.D. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Image M.D. is 1104978766. The last update date is 2020-08-22.
Image M.D.'s current location address is 12805 Victory Blvd, N Hollywood, California. You can contact this provider via phone number 8185065906. The mailing address for Image M.D. is 12805 Victory Blvd, N Hollywood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Image M.D. |
|---|---|
| Address | 12805 Victory Blvd, N Hollywood, California |
| Phone Number | 8185065906 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Sutton Clarence |
| Credentials | M.D. |
| Telephone Number | 8185065906 |
NPI Number Detail
| NPI Number | 1104978766 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12805 Victory Blvd |
|---|---|
| City | N Hollywood |
| State | California (CA) |
| Post Code | 916063012 |
| Phone Number | 8185065906 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | G74582 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Image M.D. by the Centers for Medicare & Medicaid Services (CMS)?
The Image M.D. has been assigned the NPI (National Provider Identifier) 1104978766. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Image M.D.'s facilities are geographically located?
The facilities of Image M.D. are physically situated at the following location: 12805 Victory Blvd, N Hollywood, CA, 916063012.
What is Image M.D.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Image M.D.'s specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did Image M.D. receive its 1104978766 assignment from the Centers for Medicare & Medicaid Services?
The Image M.D. was assigned its 1104978766 on 2007-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Image M.D. most recently updated?
The details pertaining to the Image M.D., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC