Organization · Type 2 NPI

Lakeside Medical Assoicates, A Medical Group, Inc.

Diagnostic Radiology Physician · West Covina, CA

NPI number 1740516236 Active

Practice location

1135 S Sunset Ave, Suite 100
West Covina, CA 91790-3937

Fax (626) 960-2125

Mailing address

777 Flower St Ste A
Glendale, CA 91201-3000

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1740516236

Lakeside Medical Assoicates, A Medical Group, Inc.'s National Provider Identifier is 1740516236, issued on Oct 19, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in West Covina, CA. The record was last updated on Oct 19, 2009.