Organization
LIFELONG MEDICAL CARE
Active
Other names
LifeLong Medical Care-Richmond Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY LYNCH (CEO)
(510) 981-4100
Entity
Organization
Contact information
Practice address
2600 MACDONALD AVE, RICHMOND, CA 94804-1826
(510) 981-4100
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
(510) 981-4100
(510) 981-4193
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
11/08/2019
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