LIFELONG MEDICAL CARE NPI 1780032128

NPI Information

LIFELONG MEDICAL CARE is a community health clinic center in Oakland, CA. LIFELONG MEDICAL CARE NPI is 1780032128. The provider is registered as an organization entity type.

The provider's business location address is:

10700 MACARTHUR BLVD
SUITE 14 B
OAKLAND, CA
ZIP 94605-298
Phone: (510) 932-1034
Fax: (510) 563-4387

The provider's authorized official is Eric Henly .
The authorized official title is Chief Medical Director and has the following contact phone number (510) 563-4300.

The CLIA number assigned to this NPI record is 05D0918901 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/26/2016 and was last updated on 5/26/2016.

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:

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