Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside Medical Organization, a Medical Group Inc

Organization Dermatology Physician · NPI 1831426642

Lakeside Medical Organization, a Medical Group Inc is a Dermatology Physician in Northridge, California. Registered with an NPI since 2009.

In the registry since
2009
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

8510 Balboa Blvd Ste 150
Northridge, CA 91325-3583
Phone: (818) 637-2000
Fax: (818) 654-3417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Body Imaging Physician Taxonomy 2085B0100X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Podiatrist Taxonomy 213E00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1831426642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Epstein — Medical Director · (818) 637-2000
NPI enumeratedNovember 16, 2009
Last updated in NPPESMarch 7, 2014
Mailing address8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583

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