Lakeside Medical Associates, A Medical Group, Inc. in North Hollywood - Nurse Practitioner
Lakeside Medical Associates, A Medical Group, Inc. - NPI 1619975158
Lakeside Medical Associates, A Medical Group, Inc. is a Nurse Practitioner in North Hollywood, 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 1619975158. The last update date is 2009-05-06.
Lakeside Medical Associates, A Medical Group, Inc.'s current location address is 12660 Riverside Dr, North Hollywood, California. You can contact this provider via phone number 8187550391 and fax number 8187538165. The mailing address for Lakeside Medical Associates, A Medical Group, Inc. is 12660 Riverside Dr, North Hollywood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Medical Associates, A Medical Group, Inc. |
|---|---|
| Address | 12660 Riverside Dr, North Hollywood, California |
| Phone Number | 8187550391 |
| Fax Number | 8187538165 |
| 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 | 1619975158 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2009-05-06 |
Provider Mailing Address Detail
| Address | 12660 Riverside Dr |
|---|---|
| City | North Hollywood |
| State | California (CA) |
| Post Code | 9160734290 |
| Phone Number | 8187550391 |
| Fax Number | 8187538165 |
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 |
|---|---|---|---|
| GR0068380 | CA | -- |
Post Comment/ Review Below
What is the Lakeside Medical Associates, A Medical Group, Inc.'s 1619975158?
The Lakeside Medical Associates, A Medical Group, Inc.'s NPI (National Provider Identifier) Number is 1619975158. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lakeside Medical Associates, A Medical Group, Inc.?
The Lakeside Medical Associates, A Medical Group, Inc. is physically situated at 12660 Riverside Dr, in the city of North Hollywood, state of CA, with the postal code 9160734290.
What is Lakeside Medical Associates, A Medical Group, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lakeside Medical Associates, A Medical Group, Inc. is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When was the Lakeside Medical Associates, A Medical Group, Inc.'s 1619975158 issued?
The Lakeside Medical Associates, A Medical Group, Inc.'s 1619975158 was issued on 2005-07-08.
As of what date were the Lakeside Medical Associates, A Medical Group, Inc.'s details last updated?
The information pertaining to the Lakeside Medical Associates, A Medical Group, Inc., including its address, specialty, and other details, was most recently updated on 2009-05-06.
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