LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC. NPI 1205002862

NPI Information

LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP, INC. is a family medicine in Glendale, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP, INC. NPI is 1205002862. 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:

1510 S CENTRAL AVE
SUITE 300
GLENDALE, CA
ZIP 91204-500
Phone: (818) 254-1511
Fax: (818) 254-1500

The provider's authorized official is Kerry 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 5/5/2008 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:

Other Identifiers

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