| Lakeside Community Healthcare Medical Group | |
|
15211 Vanowen St Suite 206 Van Nuys CA 91405-3606 | |
| (818) 376-1155 | |
| (818) 376-0011 |
| Full Name | Lakeside Community Healthcare Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 15211 Vanowen St, Van Nuys, 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 15211 Vanowen St Suite 206 Van Nuys CA 91405-3606 Ph: (818) 376-1155 |
| NPI Number | 1275579252 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275579252 | NPI | - | NPPES |
| GR0068385 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 207R00000X | Internal Medicine | (California) | Secondary |
| 363L00000X | Nurse Practitioner | (California) | Secondary |
Max M Ghannadi Md Medical Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14103 Victory Blvd, Suite 7, Van Nuys, CA 91401 Phone: 818-994-0000 Fax: 818-988-2949 | |
Philip H. Lee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7136 Haskell Ave Ste 205, Van Nuys, CA 91406 Phone: 818-908-4086 | |
Fmc 26, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14547 Victory Blvd, Van Nuys, CA 91411 Phone: 818-997-3232 Fax: 818-997-7750 | |
Best Choice Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15243 Vanowen St Ste 403, Van Nuys, CA 91405 Phone: 818-836-0608 | |
Midvalley Comprehensive Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7515 Van Nuys Blvd, Van Nuys, CA 91405 Phone: 818-947-4026 | |
Apelian Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14624 Sherman Way, Ste 603, Van Nuys, CA 91405 Phone: 818-781-3110 Fax: 818-781-3862 | |
Ril Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14545 Friar St Unit 113, Van Nuys, CA 91411 Phone: 310-780-8989 Fax: 310-289-8198 |