Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Side Medical Center Professional. Inc.

Specialist in Los Angeles, CA · enumerated 2011 · authorized official Brian Gamble, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740572395

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Registry record

Entity type Organization (Type 2)

Legal business name Lake Side Medical Center Professional. Inc.

Practice address 4300 Crenshaw Blvd, Los Angeles, CA, 90008

Phone (323) 298-1668

Enumeration date May 13, 2011

Last updated in NPPES Aug 9, 2024

Taxonomy & classification

174400000X Specialist Other Service Providers · License A76121 (CA) Primary

293D00000X Physiological Laboratory Laboratories Secondary

Authorized official

Name Brian Gamble

Title President

Phone (818) 985-1221

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-09. Verify at npiregistry.cms.hhs.gov.

Where is Lake Side Medical Center Professional. Inc. located?

The practice location on file with NPPES is in Los Angeles, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-09.