# LIFELONG MEDICAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFELONG MEDICAL CARE
- **Other names:** Downtown Oakland Clinic Dispensary
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952943979
- **Legal business name:** LIFELONG MEDICAL CARE
- **Authorized official:** KANWAR D SINGH (CFO)
- **Authorized official phone:** (510) 981-4122

## Contact information

- **Practice address:** 616 16TH ST, OAKLAND, CA 94612-1205
- **Practice address phone:** (510) 981-4100
- **Mailing address:** PO BOX 11247, BERKELEY, CA 94712-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2019
- **Last updated:** 10/10/2019