| 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 |