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 Dermatology Physician · NPI 1932129434

Lakeside Medical Associates, a Medical Group, Inc is a Dermatology Physician in Glendale, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
15
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

777 Flower St Ste A
Glendale, CA 91201-3000
Phone: (818) 637-2000
Fax: (818) 242-8761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Rheumatology Physician Taxonomy 207RR0500X
Pediatrics Physician Taxonomy 208000000X
Body Imaging Physician Taxonomy 2085B0100X
Urology Physician Taxonomy 208800000X
General Practice Physician Taxonomy 208D00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X (CA)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1932129434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Weiner — President · (818) 637-2000
Other names Lakeside Community Healthcare Medical Group
NPI enumeratedJuly 20, 2006
Last updated in NPPESMay 11, 2009
Mailing address777 Flower St Ste A, Glendale, CA 91201-3000

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