Jeffrey P. Lake, M.D., Inc.

LBN: Jeffrey P. Lake, M.D., Inc.
Jeffrey P. Lake, M.D., Inc. is an health care organization with primary practice located at 16311 Ventura Blvd Suite 505, Encino CA 91436-2124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Jeffrey P. Lake, M.D., Inc. can be contacted via phone (818) 387-8725, or through Lake, Jeffrey via phone (818) 387-8725.

Contact Information

Primary practice address
16311 Ventura Blvd Suite 505 Encino CA 91436-2124
Phone: (818) 387-8725
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lake, Jeffrey Doctor of Medicine (MD)
Phone: (818) 387-8725

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A73315 California

Profile Details

NPI number 1639487002
LBN Legal business name Jeffrey P. Lake, M.D., Inc.
DBA Doing business as
Authorized official Lake, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2010
Last updated Nov 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639487002 NPPES
Other WA73315A MEDICARE PPIN

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