Graduated: 2009
NPI: 1255623542
Practice Locations (3)
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
191 S BUENA VISTA ST, SUITE 150
BURBANK, CA 915054522
8182955920
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 W W COVINA PKWY
WEST COVINA, CA 917902708
6264309991
Source: CMS National Downloadable File, September 2026.