Lakeside Medical Associates, A Medical Group, Inc. in Glendale - Nurse Practitioner
Lakeside Medical Associates, A Medical Group, Inc. - NPI 1861499535
Lakeside Medical Associates, A Medical Group, Inc. is a Nurse Practitioner in Glendale, California. Lakeside Medical Associates, A Medical Group, Inc. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lakeside Medical Associates, A Medical Group, Inc. is 1861499535. The last update date is 2009-03-25.
Lakeside Medical Associates, A Medical Group, Inc.'s current location address is 777 Flower St, 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 St, 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 St, Glendale, California |
| Phone Number | 8186372000 |
| Fax Number | 8182428761 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Weiner E. Kerry |
| Credentials | M.D. |
| Telephone Number | 8186372000 |
NPI Number Detail
| NPI Number | 1861499535 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
| Address | 777 Flower St |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912013015 |
| Phone Number | 8186372000 |
| Fax Number | 8182428761 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0068386 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued 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 assigned the NPI (National Provider Identifier) 1861499535. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
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 St, Glendale, CA, 912013015.
What is Lakeside Medical Associates, A Medical Group, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Lakeside Medical Associates, A Medical Group, Inc.'s area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When did Lakeside Medical Associates, A Medical Group, Inc. receive its 1861499535 assignment?
The Lakeside Medical Associates, A Medical Group, Inc. was assigned its 1861499535 on 2005-07-07, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Lakeside Medical Associates, A Medical Group, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lakeside Medical Associates, A Medical Group, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-03-25.