NPI 1073647434

Lakeside Medical Group, INC.

Organisation Health Maintenance Organization Glendale, CA

Practice location

Address: 777 Flower St STE a, Glendale, CA 91201-3000
Phone: (818) 637-2000
Fax: (818) 637-2650

Authorised official

Name: Francesco Federico
Title: President
Phone: (818) 637-2000

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in California →

Registry record

NPI: 1073647434
Entity type: Organization
NPI issued: 15 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.