Organization
LIFELONG MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT COPEN (CHIEF FINANCIAL OFFICER)
(610) 918-4122
Entity
Organization
Contact information
Practice address
150 HARBOUR WAY, RICHMOND, CA 94801-3554
(510) 981-4100
Mailing address
150 HARBOUR WAY, RICHMOND, CA 94801-3554
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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