Berkeley Primary Care

LBN: Lifelong Medical Care
Berkeley Primary Care is an health care organization with primary practice located at 2001 Dwight Way Rm 1363, Berkeley CA 94704-2608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lifelong Medical Care can be contacted via phone (510) 204-4666, or through Lynch, Marty via phone (510) 981-4100.

Contact Information

Primary practice address
2001 Dwight Way Rm 1363 Berkeley CA 94704-2608
Fax:
Website:
Authorized official contact:
Name: Lynch, Marty N/A

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 140000372 California

Profile Details

NPI number 1518963693
LBN Legal business name Lifelong Medical Care
DBA Doing business as Berkeley Primary Care
Authorized official Lynch, Marty N/A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 23rd, 2009 - about 15 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 1518963693 NPPES
California Other HAP70474G FAMILY PACT
California MEDICAID FHC70474G FAMILY PACT

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