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 24355 Lyons Ave Suite 222, Santa Clarita CA 91321-2300. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Lakeside Medical Associates, A Medical Group, Inc. can be contacted via phone (661) 222-9381, or through Weiner, Kerry E. via phone (818) 637-2000.

Contact Information

Primary practice address
24355 Lyons Ave Suite 222 Santa Clarita CA 91321-2300
Phone: (661) 222-9381
Fax: (661) 222-7343
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 / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1396869970
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 Mar 19th, 2007
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396869970 NPPES
California MEDICAID GR006838B

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