Lifelong Jenkins Pediatric Center - Primary Care in Richmond, CA

Lifelong Jenkins Pediatric Center is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Richmond, California. The current practice location for Lifelong Jenkins Pediatric Center is 120 Broadway, Suite 4, Richmond, California. For appointments, you can reach them via phone at (510) 237-9537. The mailing address for Lifelong Jenkins Pediatric Center is Po Box 11247, Berkeley, California and phone number is (510) 981-4122.

Lifelong Jenkins Pediatric Center is licensed to practice in * (Not Available) (license number ) and its NPI number is 1407109622. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (510) 237-9537.

Contact Information

Lifelong Jenkins Pediatric Center
120 Broadway
Suite 4
Richmond
CA 94804-1938
(510) 237-9537
(510) 237-3957

Primary Care Clinic Profile

Full NameLifelong Jenkins Pediatric Center
SpecialityClinic/center - Federally Qualified Health Center (fqhc)
Location120 Broadway, Richmond, California
Authorized Official Name and PositionRick Clark (CHIEF FINANCIAL OFFICER)
Authorized Official Contact5109814122
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifelong Jenkins Pediatric Center
Po Box 11247
Berkeley
CA 94712-2247

Ph: (510) 981-4122
Lifelong Jenkins Pediatric Center
120 Broadway
Suite 4
Richmond
CA 94804-1938

Ph: (510) 237-9537

NPI Details:

NPI Number1407109622
Provider Enumeration Date10/25/2012
Last Update Date10/25/2012

Medical Identifiers

Medical identifiers for Lifelong Jenkins Pediatric Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407109622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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