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OrganizationMedicare enrolled
Lakeside Medical Group PC
Internal Medicine · San Diego, CA
Source: NPPES NPI RegistryFetched 2026-10-20
Public record
- NPI
- 1000000563
- Enumeration date
- 2016-06-26
- Last updated
- 2026-02-19
- Practice location
- 7609 Elm StSuite 344San Diego, CA 92121
- Taxonomies
- Internal Medicine207R00000XPrimary
- Website
- Not listed
- Medicare
- Enrolled