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Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Parent organization
LIFELONG MEDICAL CARE
Other names
LifeLong Medical Care Pinole Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFELONG MEDICAL CARE
Authorized official
MR. MARTIN LYNCH (CHIEF EXECUTIVE OFFICER)
(510) 981-4123
Entity
Organization
Contact information
Practice address
806 SAN PABLO AVE STE 1, PINOLE, CA 94564-2479
(510) 981-4100
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/08/2019
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