LAKEWOOD INTERNAL MEDICAL GROUP
NPI 1770604407
Clinic/Center - Primary Care in Lakewood, CA

Active since April 02, 2007
3650 SOUTH ST, SUITE 110, LAKEWOOD, CA 90712(562) 633-4117(562) 633-6560 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakewood Internal Medical Group NPPES

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

LAKEWOOD INTERNAL MEDICAL GROUP (NPI 1770604407) is a healthcare organization registered as a primary care in Lakewood, California and active in the NPI registry since April 2007. The organization lists Lawrence Gershon, President, as its authorized official.

NPPES Registry Identity

NPI1770604407
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKEWOOD INTERNAL MEDICAL GROUP
Location Address3650 SOUTH ST, SUITE 110Lakewood, CA 90712-1502
Mailing Address3650 South St, Suite 110Lakewood, CA 90712-1502 · (562) 633-4117 · Fax (562) 633-6560
Fax(562) 633-6560
Organization SubpartNo
Authorized OfficialLawrence GershonPresident · (562) 633-4117
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1770604407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · A22752
3650 SOUTH ST, Lakewood, CA 90712

Other Identifiers 1

MedicaidZZZ70783ZCA

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 (Pulmonary Disease)
3650 SOUTH ST, SUITE 308
LAKEWOOD, CA 90712
Family Medicine
3650 SOUTH ST, SUITE 210
LAKEWOOD, CA 90712
Internal Medicine (Nephrology)
3650 SOUTH ST, SUITE 101
LAKEWOOD, CA 90712
Internal Medicine (Cardiovascular Disease)
3650 SOUTH ST, SUITE 310
LAKEWOOD, CA 90712
Internal Medicine (Pulmonary Disease)
3650 SOUTH ST, SUITE 308
LAKEWOOD, CA 90712
Hearing Instrument Specialist
3650 SOUTH ST, SUITE 208
LAKEWOOD, CA 90712
Orthopaedic Surgery
3650 SOUTH ST, SUITE #411
LAKEWOOD, CA 90712
Family Medicine
3650 SOUTH ST, SUITE 412
LAKEWOOD, CA 90712

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 Lakewood Internal Medical Group's NPI number?

The NPI number for Lakewood Internal Medical Group is 1770604407. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Lakewood Internal Medical Group located?

Lakewood Internal Medical Group is located at 3650 South St Suite 110, Lakewood, CA 90712. The listed phone number is (562) 633-4117.

What is Lakewood Internal Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lakewood Internal Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.