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 777 Flower St Ste A , Glendale CA 91201-3000. The organization recently has 14 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 / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty.
Lakeside Medical Associates, A Medical Group, Inc. can be contacted via phone (818) 637-2000, or through Weiner, Kerry E. via phone (818) 637-2000.
Contact Information
Primary practice address
777 Flower St Ste A
Glendale CA 91201-3000
Phone: (818) 637-2000
Fax: (818) 242-8761
Website:
Health care specialties
Profile Details
| NPI number | 1932129434 |
|---|---|
| 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 | Jul 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932129434 | NPPES |
| California | MEDICAID | GR0068380 | |
| California | MEDICAID | GR0068383 | |
| California | MEDICAID | GR0068384 | |
| California | MEDICAID | GR0068381 | |
| California | MEDICAID | GR0068386 | |
| California | MEDICAID | GR0068387 | |
| California | MEDICAID | GR006838B | |
| California | MEDICAID | GR0068382 | |
| California | MEDICAID | GR0068385 | |
| California | MEDICAID | GR0068388 | |
| California | MEDICAID | GR006838A |
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