Lakeside Medical Associates A Medical Group Inc in Sherman Oaks - Family Medicine
Lakeside Medical Associates A Medical Group Inc - NPI 1104087774
Lakeside Medical Associates A Medical Group Inc is a Family Medicine in Sherman Oaks, California. Lakeside Medical Associates A Medical Group Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lakeside Medical Associates A Medical Group Inc is 1104087774. The last update date is 2009-05-06.
Lakeside Medical Associates A Medical Group Inc's current location address is 4955 Van Nuys Blvd, Sherman Oaks, California. You can contact this provider via phone number 8189075088 and fax number 8189075891. The mailing address for Lakeside Medical Associates A Medical Group Inc is 4955 Van Nuys Blvd, Sherman Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Medical Associates A Medical Group Inc |
|---|---|
| Address | 4955 Van Nuys Blvd, Sherman Oaks, California |
| Phone Number | 8189075088 |
| Fax Number | 8189075891 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Weiner E Kerry |
| Credentials | MD |
| Telephone Number | 8186372000 |
NPI Number Detail
| NPI Number | 1104087774 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2009-05-06 |
Provider Mailing Address Detail
| Address | 4955 Van Nuys Blvd |
|---|---|
| City | Sherman Oaks |
| State | California (CA) |
| Post Code | 914031811 |
| Phone Number | 8189075088 |
| Fax Number | 8189075891 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1104087774 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lakeside Medical Associates A Medical Group Inc by the Centers for Medicare & Medicaid Services?
The Lakeside Medical Associates A Medical Group Inc has been issued the NPI (National Provider Identifier) 1104087774 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lakeside Medical Associates A Medical Group Inc?
The Lakeside Medical Associates A Medical Group Inc is situated at 4955 Van Nuys Blvd, in the city of Sherman Oaks, state of CA, with the zip code 914031811.
What is the Lakeside Medical Associates A Medical Group Inc's area of specialization and corresponding taxonomy classification?
The Lakeside Medical Associates A Medical Group Inc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Lakeside Medical Associates A Medical Group Inc receive its 1104087774?
The Lakeside Medical Associates A Medical Group Inc was issued its 1104087774 on 2008-06-17, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Lakeside Medical Associates A Medical Group Inc most recently updated or revised?
The details related to Lakeside Medical Associates A Medical Group Inc, including its address, specialty, and other relevant information, were last updated or revised on 2009-05-06.