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1073647434
LAKESIDE MEDICAL GROUP, INC.
GLENDALE, CA
NPI
1073647434
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Entity Type
Organization
Authorized Contact
FRANCESCO FEDERICO
President
818-637-2000
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2007-03-15
Last Update Date
2020-08-22
Business Address
LAKESIDE MEDICAL GROUP, INC.
777 FLOWER ST STE A
GLENDALE, CA 91201-3000
Phone number: 818-637-2000
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Mailing Address
LAKESIDE MEDICAL GROUP, INC.
777 FLOWER ST STE A
GLENDALE, CA 91201-3000
Phone number: 818-637-2000
Copy
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