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JEFFREY P. LAKE, M.D., INC.
NPI 1639487002
Colon & Rectal Surgery in Encino, CA

Active since September 20, 2010
16311 VENTURA BLVD, SUITE 505, ENCINO, CA 91436(818) 387-8725 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey P. Lake, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY P. LAKE, M.D., INC. (NPI 1639487002) is a healthcare organization registered as a colon & rectal surgery in Encino, California and active in the NPI registry since September 2010. The organization lists Jeffrey Lake, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1639487002
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameJEFFREY P. LAKE, M.D., INC.
Location Address16311 VENTURA BLVD, SUITE 505Encino, CA 91436-2124
Mailing Address16311 Ventura Blvd, Suite 505Encino, CA 91436-2124 · (818) 387-8725
Phone(818) 387-8725
Organization SubpartNo
Authorized OfficialJeffrey LakePhysician/owner · (818) 387-8725
Enumeration DateSeptember 20, 2010
Last NPPES UpdateNovember 16, 2010
✔ NPI 1639487002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in CA · A73315
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
16311 VENTURA BLVD, Encino, CA 91436
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Other Identifiers 2

OtherWA73315AMedicare Ppin
Medicare UPINW18801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAHIJI MEDICAL INC
Clinic/Center (Primary Care)
16311 VENTURA BLVD, SUITE 907
ENCINO, CA 91436
Los Angeles County (818) 907-7070
JEFFREY B GLASER MD MEDICAL
Anesthesiology (Pain Medicine)
16311 VENTURA BLVD, SUITE #518
ENCINO, CA 91436
Los Angeles County (818) 501-7246
MR. STEVEN YOSHIHARU SHIBA DDS
Dentist
16311 VENTURA BLVD, #1075
ENCINO, CA 91436
Los Angeles County (818) 783-2770
DR. RICHARD E MACK JR. M.D.
Surgery (Plastic and Reconstructive Surgery)
16311 VENTURA BLVD, SUITE 1080
ENCINO, CA 91436
Los Angeles County (818) 501-5073
DR. BRUCE RICHARD STEINBERG M.D.
Psychiatry & Neurology (Addiction Medicine)
16311 VENTURA BLVD, SUITE 1050
ENCINO, CA 91436
Los Angeles County (818) 990-7099
MOUNTAIN VIEW SURGICAL CENTER INC.
Clinic/Center (Ambulatory Surgical)
16311 VENTURA BLVD, #705
ENCINO, CA 91436
Los Angeles County (818) 205-9500
TOORAJ TODD GRAVORI MD INC
Neurological Surgery
16311 VENTURA BLVD, SUITE 1065
ENCINO, CA 91436
Los Angeles County (818) 390-9100
MATTHEW MALAMET M.D. PC
Plastic Surgery
16311 VENTURA BLVD, SUITE 835
ENCINO, CA 91436
Los Angeles County (818) 380-3130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey P. Lake, M.D., Inc.'s NPI number?

The NPI number for Jeffrey P. Lake, M.D., Inc. is 1639487002. It was assigned to this organization in the NPPES registry on September 20, 2010.

Where is Jeffrey P. Lake, M.D., Inc. located?

Jeffrey P. Lake, M.D., Inc. is located at 16311 Ventura Blvd Suite 505, Encino, CA 91436. The listed phone number is (818) 387-8725.

What is Jeffrey P. Lake, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey P. Lake, M.D., Inc. was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.