Lakeside Medical Associates, A Medical Group, Inc. in Glendale - Nurse Practitioner
Lakeside Medical Associates, A Medical Group, Inc. - NPI 1043256027
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 1043256027. The last update date is 2009-05-12.
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 | 1043256027 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2009-05-12 |
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 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0068382 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lakeside Medical Associates, A Medical Group, Inc.?
The Lakeside Medical Associates, A Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1043256027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
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 the Lakeside Medical Associates, A Medical Group, Inc.'s specialty and taxonomy code?
The Lakeside Medical Associates, A Medical Group, Inc.'s specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When did the Lakeside Medical Associates, A Medical Group, Inc. receive its 1043256027?
The Lakeside Medical Associates, A Medical Group, Inc. was issued its 1043256027 on 2006-06-20, which is the date when the organization was assigned this unique identifier.
When was the Lakeside Medical Associates, A Medical Group, Inc.'s information last updated?
The Lakeside Medical Associates, A Medical Group, Inc.'s information was last updated on 2009-05-12.
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