LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP, INC.

GLENDALE, CA
NPI1205002862
Doing Business AsLAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
Entity TypeOrganization
Authorized ContactKERRY WEINER
President
818-637-2000
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207RG0100X Internal Medicine, Gastroenterology
208D00000X General Practice
Enumeration Date2008-05-05
Last Update Date2009-05-11
Business Address
LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP, INC.
1510 S CENTRAL AVE SUITE 300
GLENDALE, CA 91204-2500
Phone number: 818-254-1511
Mailing Address
LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP, INC.
777 FLOWER STREET SUITE A
GLENDALE, CA 91201-3000
Phone number: 818-637-2000
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