LIFELONG MEDICAL CARE - EASTMONT NPI 1831443563

NPI Information

NPI: 1831443563
Provider Name: LIFELONG MEDICAL CARE - EASTMONT
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
7200 BANCROFT AVE
SUITE 125A
OAKLAND, CA
ZIP 94605
Phone: (510) 430-8740
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LIFELONG MEDICAL CARE - EASTMONT is a federally qualified health center (fqhc) clinic center in Oakland, CA. LIFELONG MEDICAL CARE - EASTMONT NPI is 1831443563. The provider is registered as an organization entity type.

The provider's business location address is:

7200 BANCROFT AVE
SUITE 125A
OAKLAND, CA
ZIP 94605-403
Phone: (510) 430-8740

The provider's authorized official is Rick Clark .
The authorized official title is Chief Financial Officer and has the following contact phone number (510) 981-4122.

The enumeration date for this NPI number is 11/2/2012 and was last updated on 11/2/2012.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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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