Lakeside Community Healthcare

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

LAKESIDE COMMUNITY HEALTHCARE

Practice address

30125 Agoura Rd Ste 200
Agoura Hills, CA 91301-4322

Phone

(818) 707-9603

NPI assigned

Dec 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Martin

Title

Director

Phone

(818) 707-9603

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1487890182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30125 AGOURA RD STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014322",
            "telephone_number": "818-707-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30125 AGOURA RD STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014322",
            "telephone_number": "818-707-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE COMMUNITY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-707-9603"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Kropp, LMFT
• Elizaveta Krylova, BSC, DC
• Rajiv Kumar, M.D.
• Annelise Gabrielle Labrenz, LMFT
• Danita Lai, O.D.
• Christine-Mai Lam
• Brittany Lynn Lamoureux, D.M.D.
• Laura Lapiana, PSY.D.
• Las Virgenes Behavioral Health and Medical Clinic, Inc
• Laura Lapiana, Psy.D., a Prof. Corp.

• Health Maintenance Organization in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.