LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
NPI 1689869760
Dermatology in N Hollywood, CA

Active since September 11, 2007
12660 RIVERSIDE DR, SUITE 225, N HOLLYWOOD, CA 91607(818) 755-0265(818) 753-9074 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lakeside Community Healthcare Medical Group NPPES

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

LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP (NPI 1689869760) is a healthcare organization registered as a dermatology in N Hollywood, California and active in the NPI registry since September 2007. The organization lists Kerry E. Weiner, President, as its authorized official.

NPPES Registry Identity

NPI1689869760
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Location Address12660 RIVERSIDE DR, SUITE 225N Hollywood, CA 91607-3429
Mailing Address777 Flower St Ste AGlendale, CA 91201-3000 · (818) 637-2000 · Fax (818) 242-8761
Fax(818) 753-9074
Organization SubpartNo
Authorized OfficialKerry E. WeinerPresident · (818) 637-2000
Enumeration DateSeptember 11, 2007
Last NPPES UpdateMay 6, 2009
NPI 1689869760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedFamily MedicineTaxonomy 207Q00000X
12660 RIVERSIDE DR, N Hollywood, CA 91607

Other Names 1

Doing Business AsLakeside Community Healthcare Medical Group

Other Identifiers 3

Medicare PINW12279CA
MedicaidGR0068384CA
Medicare PINW12279GCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
12660 RIVERSIDE DR, SUITE 225
NORTH HOLLYWOOD, CA 91607
Non-Pharmacy Dispensing Site
12660 RIVERSIDE DR, SUITE 201
NORTH HOLLYWOOD, CA 91607
Allergy & Immunology
12660 RIVERSIDE DR, SUITE 325
STUDIO CITY, CA 91607
Internal Medicine
12660 RIVERSIDE DR, STE 110
NORTH HOLLYWOOD, CA 91607
Internal Medicine
12660 RIVERSIDE DR, SUITE 225
NORTH HOLLYWOOD, CA 91607
Nurse Practitioner (Psychiatric/Mental Health)
12660 RIVERSIDE DR
VALLEY VILLAGE, CA 91607
Legal Medicine
12660 RIVERSIDE DR, SUITE 201
NORTH HOLLYWOOD, CA 91607
Internal Medicine
12660 RIVERSIDE DR, STE 310
N HOLLYWOOD, CA 91607

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 Lakeside Medical Associates, A Medical Group, Inc.'s NPI number?

The NPI number for Lakeside Medical Associates, A Medical Group, Inc. is 1689869760. It was assigned to this organization in the NPPES registry on September 11, 2007. The provider is doing business as Lakeside Community Healthcare Medical Group.

Where is Lakeside Medical Associates, A Medical Group, Inc. located?

Lakeside Medical Associates, A Medical Group, Inc. is located at 12660 Riverside Dr Suite 225, N Hollywood, CA 91607. The listed phone number is (818) 755-0265.

What is Lakeside Medical Associates, A Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Medical Associates, A Medical Group, Inc. was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.