Lakeside Medical Associates, A Medical Group, Inc. in Glendale - Nurse Practitioner

Lakeside Medical Associates, A Medical Group, Inc. - NPI 1275579252

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 1275579252. The last update date is 2009-05-06.

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 1275579252
Provider Enumeration Date 2006-06-20
Last Updated Date 2009-05-06

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
GR0068385 CA --

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FAQs about Lakeside Medical Associates, A Medical Group, Inc.

What is the unique 10-digit identification 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) 1275579252 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Lakeside Medical Associates, A Medical Group, Inc. is physically located?

The Lakeside Medical Associates, A Medical Group, Inc. is 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 code that categorizes this area of expertise?

The area of specialization for Lakeside Medical Associates, A Medical Group, Inc. is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

When did Lakeside Medical Associates, A Medical Group, Inc. receive its 1275579252 assignment?

The Lakeside Medical Associates, A Medical Group, Inc. was assigned its 1275579252 on 2006-06-20, which is the date when this unique identifier was issued to the organization.

When was the information regarding Lakeside Medical Associates, A Medical Group, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lakeside Medical Associates, A Medical Group, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-05-06.

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