Organization · Type 2 NPI

Lifelong Jenkins Pediatric Center

Federally Qualified Health Center (FQHC) · Richmond, CA

NPI number 1407109622 Active

Practice location

120 Broadway, Suite 4
Richmond, CA 94804-1938

Call (510) 237-9537 Map

Fax (510) 237-3957

Mailing address

PO Box 11247
Berkeley, CA 94712-2247

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Other federally qualified health center (fqhc) providers in Richmond

See all in Richmond →

About NPI 1407109622

Lifelong Jenkins Pediatric Center's National Provider Identifier is 1407109622, issued on Oct 25, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Richmond, CA. The record was last updated on Oct 25, 2012.