Hollywood Family Clinic Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

HOLLYWOOD FAMILY CLINIC INC

Practice address

866 N Vermont Ave Ste 3
Los Angeles, CA 90029-3587

Phone

(323) 407-6597

NPI assigned

Apr 16, 2026

Organization subpart

No

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

Authorized official

Name

Ali Rafatnia, MDNPI 1346878717

Title

Ceo/ Owner

Phone

(323) 307-6597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Rafatnia

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1346878717

  CA, Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1629912100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293587",
            "telephone_number": "323-407-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "RAFATNIA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "323-307-6597",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollywood Cross Medical Clinic
• Hollywood Diagnostic Service
• Hollywood Elderly Care, Inc.
• Hollywood Emergency Physicians
• Hollywood Energy Medicine Inc
• Hollywood Family Therapy
• Hollywood Family Therapy Group, Inc
• Hollywood Family Therapy, Inc
• Hollywood Hands Rehabilitation Inc
• Hollywood Health Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.