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

Lakeside Medical Associates, a Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1104001288

Lakeside Medical Associates, a Medical Group, Inc is a Cardiovascular Disease Physician in Glendale, California. Registered with an NPI since 2008.

In the registry since
2008
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

1500 S Central Ave Ste 320
Glendale, CA 91204-2530
Phone: (818) 247-3708
Fax: (818) 547-3146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1104001288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Weiner — President · (818) 637-2000
Other names Lakeside Community Healthcare Medical Group
NPI enumeratedJanuary 8, 2008
Last updated in NPPESMay 11, 2009
Mailing address777 Flower St, Suite A, Glendale, CA 91201-3015

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