Lifelong Dental Care

LBN: Lifelong Medical Care
Lifelong Dental Care is an health care organization with primary practice located at 1860 Alcatraz Ave , Berkeley CA 94703-2715. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lifelong Medical Care can be contacted via phone (510) 653-8500, or through Lynch, Marty via phone (510) 981-4100.

Contact Information

Primary practice address
1860 Alcatraz Ave Berkeley CA 94703-2715
Phone: (510) 653-8500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lynch, Marty N/A
Phone: (510) 981-4100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X California

Profile Details

NPI number 1013913300
LBN Legal business name Lifelong Medical Care
DBA Doing business as Lifelong Dental Care
Authorized official Lynch, Marty N/A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013913300 NPPES
California MEDICAID FHC70239F

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