Lakeside Medical Associates A Medical Group, Inc. in Glendale - General Practice
Lakeside Medical Associates A Medical Group, Inc. - NPI 1205002862
Lakeside Medical Associates A Medical Group, Inc. is a General Practice in Glendale, California. Lakeside Medical Associates A Medical Group, Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lakeside Medical Associates A Medical Group, Inc. is 1205002862. The last update date is 2009-05-11.
Lakeside Medical Associates A Medical Group, Inc.'s current location address is 777 Flower Street, Glendale, California. You can contact this provider via phone number 8186372000 and fax number 8182428761. The mailing address for Lakeside Medical Associates A Medical Group, Inc. is 777 Flower Street, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Medical Associates A Medical Group, Inc. |
|---|---|
| Address | 777 Flower Street, Glendale, California |
| Phone Number | 8186372000 |
| Fax Number | 8182428761 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Weiner Kerry |
| Credentials | MD |
| Telephone Number | 8186372000 |
NPI Number Detail
| NPI Number | 1205002862 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2009-05-11 |
Provider Mailing Address Detail
| Address | 777 Flower Street |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912013000 |
| Phone Number | 8186372000 |
| Fax Number | 8182428761 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1205002862 | CA | -- |
Post Comment/ Review Below
What is the Lakeside Medical Associates A Medical Group, Inc.'s unique identification number?
The Lakeside Medical Associates A Medical Group, Inc. has been assigned the NPI (National Provider Identifier) Number 1205002862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Lakeside Medical Associates A Medical Group, Inc. is physically located?
The Lakeside Medical Associates A Medical Group, Inc. is physically situated at the following address: 777 Flower Street, Glendale, CA, 912013000.
What is Lakeside Medical Associates A Medical Group, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lakeside Medical Associates A Medical Group, Inc. is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did Lakeside Medical Associates A Medical Group, Inc. receive its 1205002862 assignment from the Centers for Medicare & Medicaid Services?
The Lakeside Medical Associates A Medical Group, Inc. was assigned its 1205002862 on 2008-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lakeside Medical Associates A Medical Group, Inc. last refreshed?
The information related to the Lakeside Medical Associates A Medical Group, Inc., including its address, specialty, and other relevant details, was last updated on 2009-05-11.