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Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Other names
LifeLong Medical Care -Downtown Oakland Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY LYNCH (CEO)
(510) 981-4123
Entity
Organization
Contact information
Practice address
616 16TH ST, OAKLAND, CA 94612-1205
(510) 451-4270
Mailing address
616 16TH ST, OAKLAND, CA 94612-1205
(510) 451-4270
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261Q00000X
Clinic/Center
—
CA
385H00000X
Respite Care
—
—
Other
Enumeration date
02/23/2007
Last updated
03/28/2022
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