LIFELINE TREATMENT SERVICES INC NPI 1689890758

NPI Information

NPI: 1689890758
Provider Name: LIFELINE TREATMENT SERVICES INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
10429 INTERNATIONAL BLVD
OAKLAND, CA
ZIP 94603
Phone: (510) 777-8448
Get Directions

LIFELINE TREATMENT SERVICES INC is a methadone clinic center in Oakland, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. LIFELINE TREATMENT SERVICES INC NPI is 1689890758. The provider is registered as an organization entity type.

The provider's business location address is:

10429 INTERNATIONAL BLVD
OAKLAND, CA
ZIP 94603-221
Phone: (510) 777-8448
Fax: (510) 777-8452

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

The enumeration date for this NPI number is 4/17/2007 and was last updated on 5/27/2021.

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	261QM2800X	Clinic/Center	Methadone	0195	CALIFORNIA	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	01-99	OTHER	CALIFORNIA	STATE NTP LICENSE
2	0196	OTHER	CALIFORNIA	MEDI-CAL NUMBER

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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