Over Sixty Health Center
LBN: Lifelong Medical Care
Over Sixty Health Center is an health care organization with primary practice located at 3260 Sacramento St , Berkeley CA 94702-2739. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Lifelong Medical Care can be contacted via phone (510) 428-4500, or through Lynch, Marty via phone (510) 981-4100.
Contact Information
Primary practice address
3260 Sacramento St
Berkeley CA 94702-2739
Phone: (510) 428-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 140000191 | California |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 140000191 | California |
Profile Details
| NPI number | 1689670002 |
|---|---|
| LBN Legal business name | Lifelong Medical Care |
| DBA Doing business as | Over Sixty Health Center |
| Authorized official | Lynch, Marty N/A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Oct 23rd, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689670002 | NPPES |
| California | MEDICAID | FHC70859F |
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