Lifelong Medical Care | |
1030 Nevin Ave Richmond CA 94801-3122 | |
(510) 215-5001 | |
Not Available |
Full Name | Lifelong Medical Care |
---|---|
Speciality | Social Worker - Clinical |
Location | 1030 Nevin Ave, Richmond, California |
Authorized Official Name and Position | Rick Clark (CONSULTANT) |
Authorized Official Contact | 5109813203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifelong Medical Care 2344 6th St Berkeley CA 94710-2412 Ph: (510) 981-3203 | Lifelong Medical Care 1030 Nevin Ave Richmond CA 94801-3122 Ph: (510) 215-5001 |
NPI Number | 1225418544 |
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Provider Enumeration Date | 06/02/2015 |
Last Update Date | 06/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225418544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW11778 (California) | Primary |
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