Hollywood Internal Medicine Clinic Inc
NPI 1780449744 · Family Medicine Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hollywood Internal Medicine Clinic Inc is a Family Medicine Physician organization in Los Angeles, CA (NPI 1780449744).
Provider details
- NPI number
- 1780449744
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Crudo, Ceo/President(323) 426-9139
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Frequently asked questions
- What is Hollywood Internal Medicine Clinic Inc's NPI number?
- Hollywood Internal Medicine Clinic Inc's National Provider Identifier (NPI) is 1780449744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hollywood Internal Medicine Clinic Inc?
- Hollywood Internal Medicine Clinic Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hollywood Internal Medicine Clinic Inc located?
- Hollywood Internal Medicine Clinic Inc's practice location on file with NPPES is 5101 Hollywood Blvd, Los Angeles, CA 90027-6105.
- What is Hollywood Internal Medicine Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Hollywood Internal Medicine Clinic Inc is (323) 426-9139.
- Does Hollywood Internal Medicine Clinic Inc accept Medicare?
- Hollywood Internal Medicine Clinic Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hollywood Internal Medicine Clinic Inc?
- The authorized official listed on Hollywood Internal Medicine Clinic Inc's NPPES record is Jeffrey Crudo, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hollywood Internal Medicine Clinic Inc's NPI active?
- Yes — Hollywood Internal Medicine Clinic Inc's NPI (1780449744) is active in the NPPES registry as of the last update on 2024-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.