| NPI | 1093969420 |
|---|---|
| Doing Business As | LIFELONG MEDICAL CARE-DOWNTOWN OAKLAND CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTY LYNCH Chief Executive Officer 510-451-4270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2009-06-18 |