Lifelong Medical Care Richmond Clinic
NPI #1699029330 in Richmond, California
Provider Information
- NPI Number
- 1699029330
- Entity Type
- Organization
- Organization Name
- Lifelong Medical Care Richmond Clinic
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Nov 2, 2012
- Last Updated
- Nov 2, 2012
Practice Location
- Address
- 2400 NEVIN AVE
- City
- Richmond
- State
- California
- ZIP Code
- 94804-1700
- Phone
- (510) 215-5001
Authorized Official
- Name
- MR. RICK CLARK
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (510) 981-4122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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