Lakeside Community Healthcare Medical Group
LBN: Lakeside Medical Associates, A Medical Group, Inc.
Lakeside Community Healthcare Medical Group is an health care organization with primary practice located at 14901 Rinaldi St Suite 200/201, Mission Hills CA 91345-1204. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lakeside Medical Associates, A Medical Group, Inc. can be contacted via phone (818) 365-8553, or through Weiner, Kerry E. via phone (818) 637-2000.
Contact Information
Primary practice address
14901 Rinaldi St Suite 200/201
Mission Hills CA 91345-1204
Phone: (818) 365-8553
Fax: (818) 365-4524
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | California | |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | California | |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | California |
Profile Details
NPI number | 1215973292 |
---|---|
LBN Legal business name | Lakeside Medical Associates, A Medical Group, Inc. |
DBA Doing business as | Lakeside Community Healthcare Medical Group |
Authorized official | Weiner, Kerry E. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 20th, 2006 |
Last updated | May 12th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215973292 | NPPES |
California | MEDICAID | GR0068383 |
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