Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey P. Lake, MD, Inc

Organization Colon & Rectal Surgery Physician · NPI 1639487002

Jeffrey P. Lake, MD, Inc is a Colon & Rectal Surgery Physician in Encino, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16311 Ventura Blvd Ste 505
Encino, CA 91436-2124
Phone: (818) 387-8725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence A73315 (CA)

Record details

NPI number1639487002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Lake — Physician/Owner · (818) 387-8725
NPI enumeratedSeptember 20, 2010
Last updated in NPPESNovember 16, 2010
Mailing address16311 Ventura Blvd, Suite 505, Encino, CA 91436-2124

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