West Berkeley Family Practice

LBN: Lifelong Medical Care
West Berkeley Family Practice is an health care organization with primary practice located at 2031 6Th St , Berkeley CA 94710-2006. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty. Lifelong Medical Care can be contacted via phone (510) 981-4200, or through Lynch, Marty via phone (510) 981-4100.

Contact Information

Primary practice address
2031 6Th St Berkeley CA 94710-2006
Phone: (510) 981-4200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lynch, Marty N/A
Phone: (510) 981-4100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 020000503 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 020000503 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 020000503 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 020000503 California

Profile Details

NPI number 1720084163
LBN Legal business name Lifelong Medical Care
DBA Doing business as West Berkeley Family Practice
Authorized official Lynch, Marty N/A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Apr 4th, 2022 - about 3 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 1720084163 NPPES
California MEDICAID FHC70635F
California Other HAP70635F

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