ELDORADO COMMUNITY SERVICE CENTER NPI 1669813515

NPI Information

  • NPI: 1669813515
  • Provider Name: ELDORADO COMMUNITY SERVICE CENTER
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: LIFELINE MEDICAL AND MENTAL HEALTH SERVICES
  • Address: 9442/9500 INTERNATIONAL BLVD.
    OAKLAND, CA
    ZIP 94603
  • Phone: (510) 777-8448

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NPI Details

ELDORADO COMMUNITY SERVICE CENTER is a primary care clinic center in Oakland, CA. ELDORADO COMMUNITY SERVICE CENTER NPI is 1669813515. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeline Medical And Mental Health Services.

The provider's business location address is:

9442/9500 INTERNATIONAL BLVD.
OAKLAND, CA
ZIP 94603-444
Phone: (510) 777-8448
Fax: (510) 777-8453

The provider's authorized official is Seanjay Ramanand Sharma .
The authorized official title is Director and has the following contact phone number (661) 254-6630.

The enumeration date for this NPI number is 7/8/2013 and was last updated on 1/31/2017.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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