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Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Parent organization
LIFELONG MEDICAL CARE
Other names
LifeLong Brookside Community Health Center San Pablo
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFELONG MEDICAL CARE
Authorized official
MARTY LYNCH (CEO)
(510) 981-4100
Entity
Organization
Contact information
Practice address
2023 VALE RD, STE 107, SAN PABLO, CA 94806-3891
(510) 215-9092
(510) 412-9867
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
(510) 981-4100
(510) 981-4193
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/10/2006
Last updated
06/06/2012
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