| Lifelong Medical | |
|
1415 Harrison St 201 Oakland CA 94612-3922 | |
| (510) 238-9380 | |
| Not Available |
| Full Name | Lifelong Medical |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1415 Harrison St, Oakland, California |
| Authorized Official Name and Position | Brenda Goldstein (PSYCHOSOCIAL SERVICES DIRECTOR) |
| Authorized Official Contact | 5109814136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Medical 1415 Harrison St 201 Oakland CA 94612-3922 Ph: (510) 238-9380 | Lifelong Medical 1415 Harrison St 201 Oakland CA 94612-3922 Ph: (510) 238-9380 |
| NPI Number | 1801206446 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801206446 | NPI | - | NPPES |
| FHC70474G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | FHC70474G (California) | Primary |
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