Graduated: 1983
Also: INTERNAL MEDICINE
NPI: 1710055256
Practice Locations (1)
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
191 S BUENA VISTA ST, SUITE 400
BURBANK, CA 915054543
8188480023
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 1983
Also: INTERNAL MEDICINE
NPI: 1710055256
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
191 S BUENA VISTA ST, SUITE 400
BURBANK, CA 915054543
8188480023
Source: CMS National Downloadable File, September 2026.