Lifelong Emeryville Health Center | |
4727 San Pablo Ave Room B214 Emeryville CA 94608-3035 | |
(510) 981-4100 | |
Not Available |
Full Name | Lifelong Emeryville Health Center |
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Speciality | Family Medicine |
Location | 4727 San Pablo Ave, Emeryville, California |
Authorized Official Name and Position | Martin Lynch (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5109814123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifelong Emeryville Health Center 2344 6th St Berkeley CA 94710-2412 Ph: () - | Lifelong Emeryville Health Center 4727 San Pablo Ave Room B214 Emeryville CA 94608-3035 Ph: (510) 981-4100 |
NPI Number | 1427400167 |
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Provider Enumeration Date | 07/06/2016 |
Last Update Date | 07/06/2016 |
Identifier | Type | State | Issuer |
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1427400167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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