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 1801051784

Lakeside Medical Associates, a Medical Group, Inc is a Dermatology Physician in West Covina, California. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
10
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 W West Covina Pkwy
West Covina, CA 91790-2708
Phone: (626) 430-9991
Fax: (626) 960-3726
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Gastroenterology Physician Taxonomy 207RG0100X
Gynecology Physician Taxonomy 207VG0400X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X

Record details

NPI number1801051784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Weiner — President · (818) 637-2000
Other names Lakeside Community Healthcare Medical Group
NPI enumeratedJuly 21, 2008
Last updated in NPPESOctober 19, 2009
Mailing address777 Flower Street, Suite A, Glendale, CA 91201-3000

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