Lakeside Medical Associates, a Medical Group, Inc.
NPI #1275579252 in Van Nuys, California
Provider Information
- NPI Number
- 1275579252
- Entity Type
- Organization
- Organization Name
- Lakeside Medical Associates, a Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 20, 2006
- Last Updated
- May 6, 2009
Practice Location
- Address
- 15211 VANOWEN ST
- Address 2
- SUITE 206
- City
- Van Nuys
- State
- California
- ZIP Code
- 91405-3606
- Phone
- (818) 376-1155
Authorized Official
- Name
- DR. KERRY E. WEINER, M.D.
- Title
- PRESIDENT
- Phone
- (818) 637-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner |
| Family Medicine |
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