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 1639374069

Lakeside Medical Associates, a Medical Group, Inc is a Cardiovascular Disease Physician in Sherman Oaks, 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

4835 Van Nuys Blvd Ste 114
Sherman Oaks, CA 91403-2109
Phone: (818) 783-0800
Fax: (818) 783-0802
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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 number1639374069
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 6, 2009
Mailing address777 Flower St Ste A, Glendale, CA 91201-3000

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