Lifelong Brookside Community Health Center San Pablo

LBN: Lifelong Medical Care
Lifelong Brookside Community Health Center San Pablo is an health care organization with primary practice located at 2023 Vale Rd Ste 107, San Pablo CA 94806-3891. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Lifelong Medical Care can be contacted via phone (510) 215-9092, or through Lynch, Marty via phone (510) 981-4100.

Contact Information

Primary practice address
2023 Vale Rd Ste 107 San Pablo CA 94806-3891
Fax: (510) 412-9867
Website:
Authorized official contact:
Name: Lynch, Marty

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1487696191
LBN Legal business name Lifelong Medical Care
DBA Doing business as Lifelong Brookside Community Health Center San Pablo
Authorized official Lynch, Marty
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2006
Last updated Jun 6th, 2012 - about 12 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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