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 101 S First Street Suite 1800, Burbank CA 91502-1938. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Lakeside Medical Associates, A Medical Group Inc can be contacted via phone (818) 558-7252, or through Weiner, Kerry E. via phone (818) 637-2000.

Contact Information

Primary practice address
101 S First Street Suite 1800 Burbank CA 91502-1938
Fax: (818) 558-7312
Website:
Authorized official contact:
Name: Weiner, Kerry E. Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1316953029
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 Aug 1st, 2006
Last updated May 11th, 2009 - about 16 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 1316953029 NPPES
California MEDICAID GPT001160

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