Organization
LIFELONG MEDICAL CARE
Active
Parent organization
LIFELONG MEDICAL CARE
Other names
LifeLong Medical Care-Downtown Oakland Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFELONG MEDICAL CARE
Authorized official
MARTY LYNCH (CHIEF EXECUTIVE OFFICER)
(510) 451-4270
Entity
Organization
Contact information
Practice address
616 16TH ST, SUITE 1, OAKLAND, CA 94612-1205
(510) 451-4270
Mailing address
616 16TH ST, SUITE 1, OAKLAND, CA 94612-1205
(510) 451-4270
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
06/18/2009
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