National Provider Identifier Database

LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


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
* Pediatrics 208000000X
Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.

NPI Number 1396869970
Legal business name
LBN
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Authorized official KERRY WEINER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/19/2007
Last updated 05/11/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR006838B

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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