LAKEWOOD INTERNAL MEDICAL GROUP (NPI# 1770604407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770604407 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD INTERNAL MEDICAL GROUP |
| Practice Address |
3650 South St Suite 110 Lakewood CA 90712-1502 |
| Practice Telephone | 5626334117 |
| Practice Fax Number | 5626336560 |
| Mailing Telephone | 5626334117 |
| Mailing Fax Number | 5626336560 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LAWRENCE GERSHON (PRESIDENT) |
| Authorized Official Telephone | 5626334117 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A22752 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ70783Z | 05 |
| Street Address |
3650 SOUTH ST SUITE 110 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940828 | Good Life Medical Group, Inc. | Pediatrics | 3650 South St, Ste 204, Lakewood, CA 90712-1521 | 2005-05-31 |
| 1295188282 | Nancy Perley | Nurse Practitioner | 3650 South St, Suite 208, Lakewood, CA 90712-1502 | 2016-07-14 |
| 1659773349 | Pacific Heart and Lung Surgeons Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3650 South St, Ste 206, Lakewood, CA 90712-1502 | 2014-09-24 |
| 1710262571 | Jamal Hussain Md Inc | Clinic/Center | 3650 South St, Ste 105, Lakewood, CA 90712-1502 | 2011-10-12 |
| 1649584285 | Michael J Perley Md Inc | Internal Medicine | 3650 South St, Suite 208, Lakewood, CA 90712-1502 | 2010-08-05 |
| 1366631962 | Navrose S Grewal | Surgery | 3650 South St, Suite 206, Lakewood, CA 90712-1502 | 2007-10-18 |
| 1306039300 | Shyam Dahiya Md Inc | Surgery | 3650 South St, Suite 412, Lakewood, CA 90712-1502 | 2007-08-22 |
| 1093913147 | Milan Gaurang Rawal | Internal Medicine | 3650 South St, Suite 310, Lakewood, CA 90712-1502 | 2007-07-10 |
| 1558481291 | Arthur Franklin Gelb | Internal Medicine | 3650 South St, Suite 308, Lakewood, CA 90712-1502 | 2007-03-29 |
| 1013037779 | Joel Douglas Epstein | Internal Medicine | 3650 South St, Suite 308, Lakewood, CA 90712-1502 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1093991598 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 4720 Baker Street Ext, Lakewood, NY 14750-9772 | 2008-01-14 |
| 1699394767 | Sea - Mar Community Health Center | Clinic/Center | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2020-04-09 |
| 1386209286 | Denver Health & Hospital Authority | Clinic/Center | 1630 Carr St, Lakewood, CO 80214-5985 | 2019-05-06 |
| 1265902324 | Neighborhood Health Care Incorporated | Clinic/Center | 16110 Detroit Ave, Lakewood, OH 44107-3715 | 2018-12-03 |
| 1982129219 | Robert Hermann Md | Clinic/Center | 4901 108th St Sw, Lakewood, WA 98499-3724 | 2017-08-08 |
| 1790162899 | Assure Family Practice LLC | Clinic/Center | 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138-9300 | 2015-04-28 |
| 1275964512 | Jenna Smith | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2013-12-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.