NPI | 1861499535 |
---|---|
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 | 207RR0500X Internal Medicine, Rheumatology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207RP1001X Internal Medicine, Pulmonary Disease | |
208600000X Surgery | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2009-03-25 |