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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.

NPI Number 1396869970
LBN Legal business name LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Authorized official KERRY WEINER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2007
Last updated 05/11/2009 - About 17 years ago
Identifiers
CA Medicaid GR006838B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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