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 Emergency Medicine Physician · NPI 1689874596

Lakeside Medical Associates, a Medical Group, Inc is an Emergency Medicine Physician in Burbank, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
6
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

191 S Buena Vista St Ste 150
Burbank, CA 91505-4554
Phone: (818) 295-5920
Fax: (818) 295-6965
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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
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1689874596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Weiner — President · (818) 637-2000
Other names Lakeside Community Healthcare Medical Group
NPI enumeratedJuly 19, 2007
Last updated in NPPESOctober 27, 2009
Mailing address777 Flower St Ste A, Glendale, CA 91201-3000

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