LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.

THOUSAND OAKS, CA
NPI1538323993
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
363L00000X Nurse Practitioner
208000000X Pediatrics
Enumeration Date2008-07-15
Last Update Date2009-09-04
Business Address
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
612 E JANSS RD
THOUSAND OAKS, CA 91360-5113
Phone number: 805-373-0725
Mailing Address
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
777 FLOWER STREET SUITE A
GLENDALE, CA 91201-3000
Phone number: 818-637-2000