LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC. NPI 1104001288

NPI Information

LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Glendale, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. NPI is 1104001288. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakeside Community Healthcare Medical Group.

The provider's business location address is:

1500 S CENTRAL AVE
SUITE 320
GLENDALE, CA
ZIP 91204-530
Phone: (818) 247-3708
Fax: (818) 547-3146

The provider's authorized official is Kerry E. Weiner .
The authorized official title is President and has the following contact phone number (818) 637-2000.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 5/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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