OrganizationActive
Jeffrey P. Lake, M.D., Inc.
NPI 1639487002 · Colon & Rectal Surgery Physician · Encino, CA
Provider details
- NPI number
- 1639487002
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Lake, Physician/Owner(818) 387-8725
- License
- A73315 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
16311 Ventura Blvd
Suite 505
Encino, CA 91436-2124
Phone: (818) 387-8725
Approximate (ZIP-level) locationGet directions
Mailing address
16311 Ventura Blvd
Encino, CA 91436-2124
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2010-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.