Organization · Type 2 NPI

Lifelong Medical Care

Non-Pharmacy Dispensing Site · San Pablo, CA

NPI number 1760024780 Active

Practice location

2023 Vale Rd Ste 107
San Pablo, CA 94806-3891

Call (510) 981-4100 Map

Mailing address

PO Box 11247
Berkeley, CA 94712-2247

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7 other providers at this address

NPI record

NPI: 1760024780
Entity type: Organization (Type 2)
Issued: Oct 10, 2019
Last updated: Oct 10, 2019
Status: Active
Subpart: Yes of Lifelong Medical Care

Other names

Brookside Community Health Center San Pablo Dispensary · doing business as

Authorized official

Kanwar D Singh
CFO
(510) 981-4122

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760024780

Lifelong Medical Care's National Provider Identifier is 1760024780, issued on Oct 10, 2019. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in San Pablo, CA. The record was last updated on Oct 10, 2019.