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LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC. NPI 1831426642


NPI Information

NPI: 1831426642
Provider Name: LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
8510 BALBOA BLVD
STE 150
NORTHRIDGE, CA
ZIP 91325
Phone: (818) 637-2000
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LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. is an internal medicine in Northridge, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. NPI is 1831426642. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8510 BALBOA BLVD
STE 150
NORTHRIDGE, CA
ZIP 91325-583
Phone: (818) 637-2000
Fax: (818) 654-3417

The provider's authorized official is Kenneth Epstein .
The authorized official title is Medical Director and has the following contact phone number (818) 637-2000.

The enumeration date for this NPI number is 11/16/2009 and was last updated on 3/7/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207Q00000XFamily MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RG0100XInternal MedicineGastroenterologyNo
6207RR0500XInternal MedicineRheumatologyNo
7207V00000XObstetrics & GynecologyNo
8208000000XPediatricsNo
9208100000XPhysical Medicine & RehabilitationNo
102085B0100XRadiologyBody ImagingNo
11208600000XSurgeryNo
12208800000XUrologyNo
13213E00000XPodiatristNo
14261QU0200XClinic/CenterUrgent CareNo
15207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CZ469BMEDICARE PIN
2CZ469CMEDICARE PIN
3CZ469DMEDICARE PIN
4CZ469AMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.