LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC.

NORTHRIDGE, CA
NPI1831426642
Entity TypeOrganization
Authorized ContactKENNETH EPSTEIN
Medical Director
818-637-2000
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207N00000X Dermatology
207Q00000X Family Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine, Gastroenterology
207RR0500X Internal Medicine, Rheumatology
207V00000X Obstetrics & Gynecology
208000000X Pediatrics
208100000X Physical Medicine & Rehabilitation
2085B0100X Radiology, Body Imaging
208600000X Surgery
208800000X Urology
213E00000X Podiatrist
261QU0200X Clinic/Center, Urgent Care
Enumeration Date2009-11-16
Last Update Date2014-03-07
Business Address
LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC.
8510 BALBOA BLVD STE 150
NORTHRIDGE, CA 91325-3583
Phone number: 818-637-2000
Mailing Address
LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC.
8510 BALBOA BLVD STE 150
NORTHRIDGE, CA 91325-3583
Phone number: 818-637-2000