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Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Parent organization
LIFELONG MEDICAL CARE
Other names
LifeLong Ashby Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFELONG MEDICAL CARE
Authorized official
MR. MARTY LYNCH (CHIEF EXECUTIVE OFFICER)
(510) 981-4123
Entity
Organization
Contact information
Practice address
3075 ADELINE ST STE 280, BERKELEY, CA 94703-2580
(510) 225-6300
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
(510) 981-4122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
12/02/2014
Last updated
03/31/2022
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