Lifelong Medical Care Pinole Health Center | |
806 San Pablo Ave Ste 1 Pinole CA 94564-2479 | |
(510) 981-4100 | |
Not Available |
Full Name | Lifelong Medical Care Pinole Health Center |
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Speciality | Family Medicine |
Location | 806 San Pablo Ave Ste 1, Pinole, California |
Authorized Official Name and Position | Martin Lynch (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5109814123 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifelong Medical Care Pinole Health Center Po Box 11247 Berkeley CA 94712-2247 Ph: () - | Lifelong Medical Care Pinole Health Center 806 San Pablo Ave Ste 1 Pinole CA 94564-2479 Ph: (510) 981-4100 |
NPI Number | 1194198119 |
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Provider Enumeration Date | 11/12/2015 |
Last Update Date | 11/08/2019 |
Medicare PECOS PAC ID | 2062304538 |
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Medicare Enrollment ID | O20170703001679 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194198119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Secondary |
122300000X | Dentist | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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