Diana Dermendjian
Medical Specialty
Professional ID
- NPI: 1043415383
- PECOS ID: 2264591015
- Enrollment ID: I20081107000382
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2004
Hospital Service
- Hospital CCN1: 050235
- Business Name (LBN)1: Providence Saint Joseph Medical Ctr
Medical Practices
- Organization Name: Lakeside Medical Organization, A Medical Group Inc.
- Group Practice ID assigned by PECOS: 7618005166
- Number of Group Practice member: 117
Location
- Address1: 191 S Buena Vista St
- Address2: Suite 150
- City: Burbank
- State: California
- Zip Code: 91505
- Phone Number: (818)295-5920
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):