OrganizationActive
Lake Side Medical Center Professional. Inc.
NPI 1740572395 · Specialist · Los Angeles, CA
Lake Side Medical Center Professional. Inc. is a Specialist organization in Los Angeles, CA (NPI 1740572395).
Provider details
- NPI number
- 1740572395
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Brian Gamble, President(818) 985-1221
Specialties & taxonomies
Other Service Providers
- Physiological Laboratory293D00000X
Laboratories
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4300 Crenshaw Blvd
Los Angeles, CA 90008-4902
Phone: (323) 298-1668
Street-level locationGet directions
Mailing address
12115 Magnolia Blvd Ste 14
N Hollywood, CA 91607-2609
Additional practice locations (1)
- 9653 Alder AveFontana, CA 92335-6129Phone: (909) 600-7002
Registry dates
- Enumerated
- 2011-05-13
- Last updated
- 2024-08-09
- Certified
- 2024-08-09
Frequently asked questions
- What is Lake Side Medical Center Professional. Inc.'s NPI number?
- Lake Side Medical Center Professional. Inc.'s National Provider Identifier (NPI) is 1740572395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Side Medical Center Professional. Inc.?
- Lake Side Medical Center Professional. Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lake Side Medical Center Professional. Inc. located?
- Lake Side Medical Center Professional. Inc.'s practice location on file with NPPES is 4300 Crenshaw Blvd, Los Angeles, CA 90008-4902.
- What is Lake Side Medical Center Professional. Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Side Medical Center Professional. Inc. is (323) 298-1668.
- Who is the authorized official for Lake Side Medical Center Professional. Inc.?
- The authorized official listed on Lake Side Medical Center Professional. Inc.'s NPPES record is Brian Gamble, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Side Medical Center Professional. Inc.'s NPI active?
- Yes — Lake Side Medical Center Professional. Inc.'s NPI (1740572395) is active in the NPPES registry as of the last update on 2024-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.