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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC

Active Organization

LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC is a Family Medicine organization located in SHERMAN OAKS, California. NPI 1104087774 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHERMAN OAKS, CA

Registration Details

NPI Number
1104087774
Provider Type
Organization
NPI Issued
Jun 17, 2008 (18.165733589412 yrs)
Last Updated
May 6, 2009

Practice Information

Address
4955 VAN NUYS BLVD
SUITE 308
SHERMAN OAKS, CA, 914031811
Browse CA providers · Browse ZIP 91403
Phone
8189075088
Fax
8189075891
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.