LIFELONG MEDICAL CARE NPI 1619145307

NPI Information

NPI: 1619145307
Provider Name: LIFELONG MEDICAL CARE

Doing Business As: LIFELONG MEDICAL CARE HOWARD DANIEL CLINIC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
9933 MACARTHUR BLVD
OAKLAND, CA
ZIP 94605
Phone: (510) 981-4122
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LIFELONG MEDICAL CARE is a community health clinic center in Oakland, CA. LIFELONG MEDICAL CARE NPI is 1619145307. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifelong Medical Care Howard Daniel Clinic.

The provider's business location address is:

9933 MACARTHUR BLVD
OAKLAND, CA
ZIP 94605-853
Phone: (510) 981-4122

The provider's authorized official is Marty Lynch .
The authorized official title is Ceo and has the following contact phone number (510) 981-4123.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 9/10/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051161	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA

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

NPI Synchronization or Removal

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