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Organization

LIFELONG MEDICAL CARE

Active
Parent organization
LIFELONG MEDICAL CARE
Other names
Downtown Oakland Clinic Dispensary
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFELONG MEDICAL CARE
Authorized official
KANWAR D SINGH (CFO)
(510) 981-4122
Entity
Organization

Contact information

Practice address
616 16TH ST, OAKLAND, CA 94612-1205
(510) 981-4100
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
10/10/2019
Last updated
10/10/2019
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