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 Dermatology Physician · NPI 1689869760

Lakeside Medical Associates, a Medical Group, Inc is a Dermatology Physician in N Hollywood, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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

12660 Riverside Dr Ste 225
N Hollywood, CA 91607-3429
Phone: (818) 755-0265
Fax: (818) 753-9074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1689869760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Weiner — President · (818) 637-2000
Other names Lakeside Community Healthcare Medical Group
NPI enumeratedSeptember 11, 2007
Last updated in NPPESMay 6, 2009
Mailing address777 Flower St Ste A, Glendale, CA 91201-3000

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