Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Other names
LIFELONG MEDICAL CARE- EAST OAKLAND
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTY LYNCH N/A (CEO)
(510) 981-4100
Entity
Organization
Contact information
Practice address
10700 MACARTHUR BLVD, STE 14B, OAKLAND, CA 94605-5260
(510) 563-4300
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
(510) 981-4100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
140000538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70704F
—
CA
Enumeration date
06/23/2005
Last updated
03/31/2022
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