# LIFELONG MEDICAL CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** WEST BERKELEY FAMILY PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720084163
- **Authorized official:** MR. MARTY LYNCH N/A (CEO)
- **Authorized official phone:** (510) 981-4100

## Contact information

- **Practice address:** 2031 6TH ST, BERKELEY, CA 94710-2006
- **Practice address phone:** (510) 981-4200
- **Mailing address:** PO BOX 11247, BERKELEY, CA 94712-2247
- **Mailing address phone:** (510) 981-4100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 020000503 | CA | Yes |
| 207QA0505X | Adult Medicine Physician | 020000503 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 020000503 | CA | — |
| 208000000X | Pediatrics Physician | 020000503 | CA | — |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 04/04/2022