Image M.d.

NPI #1104978766 in N Hollywood, California

Provider Information

NPI Number: 1104978766
Entity Type: Organization
Organization Name: Image M.d.
Primary Specialty: General Practice
Enumeration Date: Jan 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 12805 VICTORY BLVD
City: N Hollywood
State: California
ZIP Code: 91606-3012
Phone: (818) 506-5906

Authorized Official

Name: DR. CLARENCE SUTTON, M.D.
Title: PHYSICIAN OWNER
Phone: (818) 506-5906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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