Lifelong Medical Care in Berkeley - Adolescent Medicine
Lifelong Medical Care - NPI 1720084163
Lifelong Medical Care is a Adolescent Medicine in Berkeley, California. Lifelong Medical Care practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Lifelong Medical Care is 1720084163. The last update date is 2022-04-04.
Lifelong Medical Care's current location address is 2031 6th St, Berkeley, California. You can contact this provider via phone number 5109814200. The mailing address for Lifelong Medical Care is 2031 6th St, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifelong Medical Care |
|---|---|
| Address | 2031 6th St, Berkeley, California |
| Phone Number | 5109814200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Lynch Marty |
| Telephone Number | 5109814100 |
NPI Number Detail
| NPI Number | 1720084163 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2022-04-04 |
Provider Mailing Address Detail
| Address | 2031 6th St |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 9471020060 |
| Phone Number | 5109814200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 20000503 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70635F | CA | -- | |
| HAP70635F | CA | FAMILY PACT |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lifelong Medical Care by the Centers for Medicare & Medicaid Services?
The Lifelong Medical Care has been issued the NPI (National Provider Identifier) 1720084163 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lifelong Medical Care is located?
The Lifelong Medical Care is situated at the following address: 2031 6Th St, Berkeley, CA, 9471020060.
On what date did Lifelong Medical Care receive its 1720084163 assignment from the Centers for Medicare & Medicaid Services?
The Lifelong Medical Care was assigned its 1720084163 on 2005-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1720084163 to Lifelong Medical Care?
The Centers for Medicare & Medicaid Services assigned the 1720084163 to Lifelong Medical Care on 2005-06-21.
As of what date was the information regarding Lifelong Medical Care, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lifelong Medical Care, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-04.