Organization · Type 2 NPI

Lakeside Medical Associates, A Medical Group, Inc.

Cardiovascular Disease Physician · Glendale, CA

NPI number 1104001288 Active

Practice location

1500 S Central Ave, Suite 320
Glendale, CA 91204-2530

Call (818) 247-3708 Map

Fax (818) 547-3146

Mailing address

777 Flower St, Suite A
Glendale, CA 91201-3015

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1104001288

Lakeside Medical Associates, A Medical Group, Inc.'s National Provider Identifier is 1104001288, issued on Jan 8, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Glendale, CA. The record was last updated on May 11, 2009.