OrganizationActive
Image M.D.
NPI 1104978766 · General Practice Physician · N Hollywood, CA
Provider details
- NPI number
- 1104978766
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clarence Sutton, Physician Owner(818) 506-5906
- License
- G74582 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12805 Victory Blvd
N Hollywood, CA 91606-3012
Phone: (818) 506-5906
Street-level locationGet directions
Mailing address
12805 Victory Blvd
N Hollywood, CA 91606-3012
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.