Organization · Type 2 NPI

Image M.d.

General Practice Physician · North Hollywood, CA

NPI number 1104978766 Active

Practice location

12805 Victory Blvd
North Hollywood, CA 91606-3012

Call (818) 506-5906 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XG74582 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

4 other providers at this address

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About NPI 1104978766

Image M.d.'s National Provider Identifier is 1104978766, issued on Jan 16, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in North Hollywood, CA. The record was last updated on Aug 22, 2020.