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 4835 Van Nuys Blvd Suite 114, Sherman Oaks CA 91403-2109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Lakeside Medical Associates, A Medical Group, Inc. can be contacted via phone (818) 783-0800, or through Weiner, Kerry E. via phone (818) 637-2000.

Contact Information

Primary practice address
4835 Van Nuys Blvd Suite 114 Sherman Oaks CA 91403-2109
Fax: (818) 783-0802
Website:
Authorized official contact:
Name: Weiner, Kerry E. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1639374069
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 16th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639374069 NPPES
California MEDICAID 1639374069

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