Hollywood Medical Primary Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOLLYWOOD MEDICAL PRIMARY CARE INC

Practice address

5232 W Sunset Blvd
Los Angeles, CA 90027-5710

Phone

(323) 433-1555

NPI assigned

Sep 30, 2022

Last updated

Sep 30, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Faried Banimahd

Title

Ceo

Phone

(949) 929-6203

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1114641321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275710",
            "telephone_number": "323-433-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275710",
            "telephone_number": "323-433-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD MEDICAL PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "BANIMAHD",
        "authorized_official_first_name": "FARIED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-929-6203"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollywood Imaging&Diagnostic.Inc
• Hollywood Internal Medicine Clinic Inc
• Hollywood Lifestyle Dermaotogy
• Hollywood Luxury Rehab
• Hollywood Medical Center
• Hollywood Medical Rehabilitaion Care, Inc
• Hollywood Medical Rehabilitation Care, Inc.
• Hollywood Medical Rehabilitation Care, Inc.
• Hollywood Menta Health Center
• Hollywood Mental Health Center

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.