Organization · Type 2 NPI

Lakeside Medical Associates, A Medical Group, Inc.

Cardiovascular Disease Physician · Sherman Oaks, CA

NPI number 1639374069 Active

Practice location

4835 Van Nuys Blvd, Suite 114
Sherman Oaks, CA 91403-2109

Fax (818) 783-0802

Mailing address

777 Flower St Ste A
Glendale, CA 91201-3000

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 1639374069

Lakeside Medical Associates, A Medical Group, Inc.'s National Provider Identifier is 1639374069, issued on Jun 16, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Sherman Oaks, CA. The record was last updated on May 6, 2009.