Lakeside Medical Associates, A Medical Group, Inc. in Glendale - Nurse Practitioner
Lakeside Medical Associates, A Medical Group, Inc. - NPI 1689874596
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 1689874596. The last update date is 2009-10-27.
Lakeside Medical Associates, A Medical Group, Inc.'s current location address is 777 Flower St Ste A, 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 Ste A, 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 Ste A, 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 | 1689874596 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2009-10-27 |
Provider Mailing Address Detail
| Address | 777 Flower St Ste A |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912013000 |
| 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 |
|---|---|---|---|
| GR006838A | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned 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 issued the NPI (National Provider Identifier) 1689874596 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lakeside Medical Associates, A Medical Group, Inc.'s facilities are situated?
The facilities of Lakeside Medical Associates, A Medical Group, Inc. are physically located at the following address: 777 Flower St Ste A, Glendale, CA, 912013000.
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 Lakeside Medical Associates, A Medical Group, Inc. receive its 1689874596 assignment?
The Lakeside Medical Associates, A Medical Group, Inc. was assigned its 1689874596 on 2007-07-19, which is the date when this unique identifier was issued to the organization.
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 2009-10-27.
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