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Organization
HOLLYWOOD INTERNAL MEDICINE CLINIC INC
Active
Organization
HOLLYWOOD INTERNAL MEDICINE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CRUDO MD (CEO/PRESIDENT)
(323) 426-9139
Entity
Organization
Contact information
Practice address
5101 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-6105
(323) 426-9139
(323) 426-9140
Mailing address
5101 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-6105
(323) 426-9139
(323) 426-9140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
03/01/2024
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