Lakeside Medical Associates, A Medical Group, Inc. in Glendale - Nurse Practitioner
Lakeside Medical Associates, A Medical Group, Inc. - NPI 1659317634
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 1659317634. 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 | 1659317634 |
|---|---|
| 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 |
|---|---|---|---|
| GR0068381 | CA | -- |
Post Comment/ Review Below
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) 1659317634 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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 777 Flower St, in the city of Glendale, state of CA, with the postal code 912013015.
What is Lakeside Medical Associates, A Medical Group, Inc.'s area of expertise and its corresponding taxonomy classification?
The Lakeside Medical Associates, A Medical Group, Inc.'s field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1659317634 to Lakeside Medical Associates, A Medical Group, Inc.?
The Lakeside Medical Associates, A Medical Group, Inc. received its 1659317634 assignment from the Centers for Medicare & Medicaid Services on 2006-06-20.
As of what date was the information regarding Lakeside Medical Associates, A Medical Group, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lakeside Medical Associates, A Medical Group, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-06.
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