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

Lakeside Medical Associates, a Medical Group, Inc

Organization Family Medicine Physician · NPI 1043256027

Lakeside Medical Associates, a Medical Group, Inc is a Family Medicine Physician in Burbank, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
5
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

607 S Glenoaks Blvd
Burbank, CA 91502-1424
Phone: (818) 557-2671
Fax: (818) 557-0761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Rheumatology Physician Taxonomy 207RR0500X
Pediatrics Physician Taxonomy 208000000X
Nurse Practitioner Taxonomy 363L00000X (CA)

Record details

NPI number1043256027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Weiner — President · (818) 637-2000
Other names Lakeside Community Healthcare Medical Group
NPI enumeratedJune 20, 2006
Last updated in NPPESMay 12, 2009
Mailing address777 Flower St, Suite A, Glendale, CA 91201-3015

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