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 Urology Physician · NPI 1477758803

Lakeside Medical Associates, a Medical Group, Inc is an Urology Physician in Northridge, California. Registered with an NPI since 2007.

In the registry since
2007
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

18350 Roscoe Blvd Ste 307
Northridge, CA 91325-4109
Phone: (818) 886-3100
Fax: (818) 718-0164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1477758803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Weiner — President · (818) 637-2000
Other names Lakeside Community Healthcare Medical Group
NPI enumeratedJune 16, 2007
Last updated in NPPESMay 12, 2009
Mailing address777 Flower St Ste A, Glendale, CA 91201-3000

Other providers in Northridge