Organization
LIFELONG MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HENLY MD (CHIEF MEDICAL DIRECTOR)
(510) 563-4300
Entity
Organization
Contact information
Practice address
10700 MACARTHUR BLVD, SUITE 14 B, OAKLAND, CA 94605-5298
(510) 932-1034
(510) 563-4387
Mailing address
10700 MACARTHUR BLVD, SUITE 14 B, OAKLAND, CA 94605-5298
(510) 932-1034
(510) 563-4387
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
336201
CA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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