Lifelong Medical Care
Family Medicine in Pinole, CA. Organization (NPI-2).
NPI number1194198119
StatusActive
Last updated in NPPESNov 8, 2019
Details
- NPI
- 1194198119
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifelong Medical Care
- Organization subpart
- Yes
- Enumeration date
- Nov 12, 2015
- Last updated
- Nov 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 104100000X | Social Worker | – | – | |
| 122300000X | Dentist | – | – |
Other names
- Lifelong Medical Care Pinole Health Center (Other Name)
Practice location
806 San Pablo Ave Ste 1Pinole, CA 94564-2479
Phone 510-981-4100
Mailing address
Po Box 11247Berkeley, CA 94712-2247
Authorized official
Martin Lynch
Chief Executive Officer
5109814123
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All 17 Family Medicine Physician providers in Pinole · All 499 providers in Pinole
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