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 15211 Vanowen St Suite 206, Van Nuys CA 91405-3606. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal 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) 376-1155, or through Weiner, Kerry E. via phone (818) 637-2000.

Contact Information

Primary practice address
15211 Vanowen St Suite 206 Van Nuys CA 91405-3606
Phone: (818) 376-1155
Fax: (818) 376-0011
Website:
Map and Directions
Authorized official contact:
Name: Weiner, Kerry E. Doctor of Medicine (MD)
Phone: (818) 637-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X California

Profile Details

NPI number 1275579252
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 6th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275579252 NPPES
California MEDICAID GR0068385

Popular Providers