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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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