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LIFELONG MEDICAL CARE NPI 1376931295


NPI Information

NPI: 1376931295
Provider Name: LIFELONG MEDICAL CARE

Other Name: LIFELONG TRUST HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
386 14TH ST
OAKLAND, CA
ZIP 94612
Phone: (510) 981-4100
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LIFELONG MEDICAL CARE is a family medicine in Oakland, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIFELONG MEDICAL CARE NPI is 1376931295. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Lifelong Trust Health Center.

The provider's business location address is:

386 14TH ST
OAKLAND, CA
ZIP 94612-211
Phone: (510) 981-4100

The provider's authorized official is Martin Lynch .
The authorized official title is Chief Executive Officer and has the following contact phone number (510) 981-4123.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 10/14/2016.


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
1207Q00000XFamily MedicineYes

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
1751194MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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