LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC. NPI 1851409874

NPI Information

LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. is a rheumatology internal medicine in Glendale, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. NPI is 1851409874. 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:

222 W EULALIA ST
SUITE 200
GLENDALE, CA
ZIP 91204-849
Phone: (818) 291-4010
Fax: (818) 291-4058

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 CLIA number assigned to this NPI record is 05D1061621 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 5/12/2009.

Taxonomy Codes

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Other Identifiers

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