Organization · Type 2 NPI
Lifelong Medical Care Richmond Clinic
Federally Qualified Health Center (FQHC) · Richmond, CA
NPI number
1699029330
Active
Practice location
2400 Nevin Ave
Richmond, CA 94804-1700
Fax (510) 215-1115
Mailing address
PO Box 11247
Berkeley, CA 94712-2247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1699029330
Lifelong Medical Care Richmond Clinic's National Provider Identifier is 1699029330, issued on Nov 2, 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 Nov 2, 2012.