Organization
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Active
Organization
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Active
Other names
Lakeside Community Healthcare Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY E. WEINER M.D. (PRESIDENT)
(818) 637-2000
Entity
Organization
Contact information
Practice address
1500 S CENTRAL AVE, SUITE 320, GLENDALE, CA 91204-2530
(818) 247-3708
(818) 547-3146
Mailing address
777 FLOWER ST, SUITE A, GLENDALE, CA 91201-3015
(818) 637-2000
(818) 242-8761
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/08/2008
Last updated
05/11/2009
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