Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lakeside Medical Organization, a Medical Group Inc

Organization Dermatology Physician · NPI 1831426642

Lakeside Medical Organization, a Medical Group Inc provides Dermatology Physician services in West Hills, California. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8501 Fallbrook Ave Ste 300
West Hills, CA 91304-3269
Phone: (818) 654-3400
Fax: (818) 933-0525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Body Imaging Physician Taxonomy 2085B0100X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Podiatrist Taxonomy 213E00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1831426642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Arce-Gomez — Credentialing Supervisor · (818) 654-3400
NPI enumeratedNovember 16, 2009
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026
Mailing address8501 Fallbrook Ave Ste 300, West Hills, CA 91304-3269

Other providers in West Hills