Graduated: 1973
Also: GERIATRIC MEDICINE
Offers telehealth
NPI: 1194750349
Practice Locations (2)
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
191 S BUENA VISTA ST, SUITE 200 AND 240
BURBANK, CA 915054542
8188872671
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
1500 S CENTRAL AVE, SUITE 200
GLENDALE, CA 912043853
8182914010
Source: CMS National Downloadable File, September 2026.