| Lifelong Medical Care | |
|
616 16th St Oakland CA 94612-1205 | |
| (510) 451-4270 | |
| Not Available |
| Full Name | Lifelong Medical Care |
|---|---|
| Speciality | Case Manager/Care Coordinator |
| Location | 616 16th St, Oakland, California |
| Authorized Official Name and Position | Marty Lynch (CEO) |
| Authorized Official Contact | 5109814123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Medical Care 616 16th St Oakland CA 94612-1205 Ph: (510) 451-4270 | Lifelong Medical Care 616 16th St Oakland CA 94612-1205 Ph: (510) 451-4270 |
| NPI Number | 1568598829 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 03/28/2022 |
| Medicare PECOS PAC ID | 2062304538 |
|---|---|
| Medicare Enrollment ID | O20050711000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568598829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (California) | Secondary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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