Organization · Type 2 NPI

Lifelong Medical Care

Clinic/Center · Richmond, CA

NPI number 1902177892 Active

Practice location

2600 Macdonald Ave
Richmond, CA 94804-1826

Call (510) 981-4100 Map

Mailing address

PO Box 11247
Berkeley, CA 94712-2247

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

7 other providers at this address

Other clinic/center providers in Richmond

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NPI record

NPI: 1902177892
Entity type: Organization (Type 2)
Issued: Jan 24, 2012
Last updated: Nov 8, 2019
Status: Active

Other names

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Lifelong Medical Care-Richmond Clinic · doing business as
Lifelong Medical Care-Richmond Clinic · doing business as

Authorized official

Marty Lynch
CEO
(510) 981-4100

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 1902177892

Lifelong Medical Care's National Provider Identifier is 1902177892, issued on Jan 24, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Richmond, CA. The record was last updated on Nov 8, 2019.