| Lakeside Community Healthcare Medical Group | |
|
12660 Riverside Dr Suite 310/320 North Hollywood CA 91607-3429 | |
| (818) 755-0391 | |
| (818) 753-8165 |
| Full Name | Lakeside Community Healthcare Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 12660 Riverside Dr, North Hollywood, California |
| Authorized Official Name and Position | Kerry E. Weiner (PRESIDENT) |
| Authorized Official Contact | 8186372000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Community Healthcare Medical Group 777 Flower St Suite A Glendale CA 91201-3015 Ph: (818) 637-2000 | Lakeside Community Healthcare Medical Group 12660 Riverside Dr Suite 310/320 North Hollywood CA 91607-3429 Ph: (818) 755-0391 |
| NPI Number | 1619975158 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619975158 | NPI | - | NPPES |
| GR0068380 | Medicaid | CA |
Yaroslav A. Gofnung, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12660 Riverside Dr, Suite 225, North Hollywood, CA 91607 Phone: 818-487-0040 Fax: 818-487-0050 | |
Thesea Chinn Md Mph Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12660 Riverside Dr, Ste 110, North Hollywood, CA 91607 Phone: 818-766-2110 Fax: 818-508-1463 | |
Magna Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11755 Victory Blvd, Suite 206, North Hollywood, CA 91606 Phone: 818-762-9883 Fax: 818-762-3237 | |
Oxnard Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12511 Oxnard St, North Hollywood, CA 91606 Phone: 818-762-2084 Fax: 818-762-2085 | |
Nhvc Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12826 Victory Blvd, Suite D, North Hollywood, CA 91606 Phone: 310-819-7059 | |
Shavash Safvati M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12626 Riverside Dr, Suite #303, North Hollywood, CA 91607 Phone: 818-760-2434 Fax: 818-760-8832 | |
Dmb Md Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 Laurel Canyon Blvd, North Hollywood, CA 91605 Phone: 818-962-5505 Fax: 811-821-6722 |