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Contact Information

LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
24355 LYONS AVE
SUITE 222
SANTA CLARITA, CA91321-2300
 Phone: 661-222-9381
 Fax: 661-222-7343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC · (Female)

NPI # 1396869970
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2007
Last updated 05/11/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR006838B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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