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Organization

LIGHTYEAR HEALTH CLINIC CALIFORNIA, PC

Active
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Organization

LIGHTYEAR HEALTH CLINIC CALIFORNIA, PC

Active
Other names
Lightyear Health, Nicole Kelleher, MD PC
Organization subpart
No

Provider details

NPI number
Authorized official
VAIBHAV RIKHYE (VICE PRESIDENT OPERATIONS)
(888) 380-0988
Entity
Organization

Contact information

Practice address
2950 BUSKIRK AVE STE 300, WALNUT CREEK, CA 94597-6900
(888) 380-0988
(289) 236-3022
Mailing address
2950 BUSKIRK AVE STE 300, WALNUT CREEK, CA 94597-6900
(888) 380-0988
(289) 236-3022

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
363A00000X
Physician Assistant
363LA2200X
Adult Health Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
10/01/2020
Last updated
02/12/2024
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