NPI | 1104001288 |
---|---|
Doing Business As | LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KERRY E. WEINER President 818-637-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2008-01-08 |
Last Update Date | 2009-05-11 |