LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP – NPI #1104072339
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP is a provider located in WEST HILLS, CA. NPPES has assigned the NPI number 1104072339 to LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP on August 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP” is a dba name, the actual legal business name for this organization is LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 17 years ago on May 06, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP below.

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

NPI Number
1104072339
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Doing Business As (dba): LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
Primary location
7345 MEDICAL CENTER DRIVE
SUITE 500
WEST HILLS, CA 91307-1964
Phone: (818) 348-6200 Fax: (818) 348-6233
Mailing address
777 FLOWER STREET
SUITE A
GLENDALE, CA 91201-3000
Phone: (818) 637-2000 Fax: (818) 242-8761
Organization Subpart
No
Authorized Official
KERRY WEINER
PRESIDENT
Phone: (818) 637-2000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.