LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.

BURBANK, CA
NPI1043256027
Doing Business AsLAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
Entity TypeOrganization
Authorized ContactKERRY E. WEINER
President
818-637-2000
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207RR0500X Internal Medicine, Rheumatology
208000000X Pediatrics
363L00000X Nurse Practitioner
Enumeration Date2006-06-20
Last Update Date2009-05-12
Business Address
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
607 S GLENOAKS BLVD
BURBANK, CA 91502-1424
Phone number: 818-557-2671
Mailing Address
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
777 FLOWER ST SUITE A
GLENDALE, CA 91201-3015
Phone number: 818-637-2000
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