Organization
LAKESIDE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA NASROLLAHY (CEO)
(714) 510-2682
Entity
Organization
Contact information
Practice address
4119 W BURBANK BLVD STE 143, BURBANK, CA 91505-2122
(714) 510-2682
Mailing address
4119 W BURBANK BLVD STE 143, BURBANK, CA 91505-2122
(714) 510-2682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
01/19/2026
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