| NPI | 1154327138 |
|---|---|
| Doing Business As | LIFELONG MEDICAL CARE- EAST OAKLAND |
| Entity Type | Organization |
| Authorized Contact | MARTY LYNCH CEO 510-981-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 140000538) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2022-03-31 |