Lakeside Community Healthcare Medical Group - Primary Care in Glendale, CA

Lakeside Community Healthcare Medical Group is a primary clinic (Family Medicine) in Glendale, California. The current practice location for Lakeside Community Healthcare Medical Group is 1510 S Central Ave, Suite 300, Glendale, California. For appointments, you can reach them via phone at (818) 254-1511. The mailing address for Lakeside Community Healthcare Medical Group is 777 Flower Street, Suite A, Glendale, California and phone number is (818) 637-2000.

Lakeside Community Healthcare Medical Group is licensed to practice in * (Not Available) (license number ) and its NPI number is 1205002862. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (818) 254-1511.

Contact Information

Lakeside Community Healthcare Medical Group
1510 S Central Ave
Suite 300
Glendale
CA 91204-2500
(818) 254-1511
(818) 254-1500

Primary Care Clinic Profile

Full NameLakeside Community Healthcare Medical Group
SpecialityFamily Medicine
Location1510 S Central Ave, Glendale, California
Authorized Official Name and PositionKerry Weiner (PRESIDENT)
Authorized Official Contact8186372000
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeside Community Healthcare Medical Group
777 Flower Street
Suite A
Glendale
CA 91201-3000

Ph: (818) 637-2000
Lakeside Community Healthcare Medical Group
1510 S Central Ave
Suite 300
Glendale
CA 91204-2500

Ph: (818) 254-1511

NPI Details:

NPI Number1205002862
Provider Enumeration Date05/05/2008
Last Update Date05/11/2009

Medical Identifiers

Medical identifiers for Lakeside Community Healthcare Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205002862NPI-NPPES
1205002862MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary

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› Verified 9 days ago


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