LAKE SIDE MEDICAL CENTER PROFESSIONAL. INC.

LOS ANGELES, CA
NPI1740572395
Entity TypeOrganization
Authorized ContactBRIAN KEITH GAMBLE
President
818-985-1221
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  A76121)
Additional Taxonomies293D00000X Physiological Laboratory
Enumeration Date2011-05-13
Last Update Date2024-08-09
Business Address
LAKE SIDE MEDICAL CENTER PROFESSIONAL. INC.
4300 CRENSHAW BLVD
LOS ANGELES, CA 90008-4902
Phone number: 323-298-1668
Mailing Address
LAKE SIDE MEDICAL CENTER PROFESSIONAL. INC.
12115 MAGNOLIA BLVD STE 14
N HOLLYWOOD, CA 91607-2609
Phone number: 818-985-1221