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LIFELONG MEDICAL CARE NPI 1154327138


NPI Information

NPI: 1154327138
Provider Name: LIFELONG MEDICAL CARE

Doing Business As: LIFELONG MEDICAL CARE- EAST OAKLAND

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
10700 MACARTHUR BLVD
STE 14B
OAKLAND, CA
ZIP 94605
Phone: (510) 563-4300
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LIFELONG MEDICAL CARE is a geriatric medicine family medicine in Oakland, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. LIFELONG MEDICAL CARE NPI is 1154327138. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifelong Medical Care- East Oakland.

The provider's business location address is:

10700 MACARTHUR BLVD
STE 14B
OAKLAND, CA
ZIP 94605-260
Phone: (510) 563-4300

The provider's authorized official is Marty Lynch .
The authorized official title is Ceo and has the following contact phone number (510) 981-4100.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 10/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine140000538CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FHC70704FMEDICAIDCALIFORNIA
2551812MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACARRIER UGS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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