HOLLYWOOD FAMILY CLINIC INC – NPI #1629912100
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

HOLLYWOOD FAMILY CLINIC INC is a provider located in LOS ANGELES, CA. NPPES recently assigned the NPI number 1629912100 to HOLLYWOOD FAMILY CLINIC INC on April 16, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOLLYWOOD FAMILY CLINIC INC below.

NPI Profile for
HOLLYWOOD FAMILY CLINIC INC

NPI Number
1629912100
Enumeration Date

(about 8 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOLLYWOOD FAMILY CLINIC INC
Primary location
866 N VERMONT AVE STE 3
LOS ANGELES, CA 90029-3587
Phone: (323) 407-6597 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALI RAFATNIA
CEO/ OWNER
Phone: (323) 307-6597
Updated
Certification Date
Apr 16, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.