| Lifelong Medical Care-richmond Clinic | |
|
2600 Macdonald Ave Richmond CA 94804-1826 | |
| (510) 981-4100 | |
| Not Available |
| Full Name | Lifelong Medical Care-richmond Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 2600 Macdonald Ave, Richmond, California |
| Authorized Official Name and Position | Marty Lynch (CEO) |
| Authorized Official Contact | 5109814100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Medical Care-richmond Clinic Po Box 11247 Berkeley CA 94712-2247 Ph: (510) 981-4100 | Lifelong Medical Care-richmond Clinic 2600 Macdonald Ave Richmond CA 94804-1826 Ph: (510) 981-4100 |
| NPI Number | 1902177892 |
|---|---|
| Provider Enumeration Date | 01/24/2012 |
| Last Update Date | 11/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902177892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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