# LIFELONG MEDICAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFELONG MEDICAL CARE
- **Other names:** LifeLong Medical Care Howard Daniel Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619145307
- **Legal business name:** LIFELONG MEDICAL CARE
- **Authorized official:** MR. MARTY LYNCH PH.D. (CEO)
- **Authorized official phone:** (510) 981-4123

## Contact information

- **Practice address:** 9933 MACARTHUR BLVD, OAKLAND, CA 94605-4853
- **Practice address phone:** (510) 981-4122
- **Mailing address:** 9933 MACARTHUR BLVD, OAKLAND, CA 94605-4853
- **Mailing address phone:** (510) 981-4122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 03/31/2022