institution
Lifelong Jenkins Pediatric Center
Federally Qualified Health Center (FQHC) in Richmond, California
NPI 1407109622

Lifelong Jenkins Pediatric Center is a Federally Qualified Health Center (FQHC) based in Berkeley, CA and is specialized in Federally Qualified Health Center (FQHC). Lifelong Jenkins Pediatric Center practices in Richmond, CA. The NPI Number for Lifelong Jenkins Pediatric Center is 1407109622 and holds a License No. (California).

The current practice location address for Lifelong Jenkins Pediatric Center is 120 Broadway, Richmond, CA and can be reached out via phone at 510-237-9537 and via fax at 510-237-3957.

Location: 120 Broadway, Richmond, CA, 94712-2247
institution
Provider Profile Details
NPI Number
1407109622
Provider Name
Lifelong Jenkins Pediatric Center
Credential
Provider Entity Type
Organization
Address
120 Broadway, Richmond, CA, 94712-2247
Phone Number
510-237-9537
Fax Number
510-237-3957
Provider Enumeration Date
10/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 Broadway
City
State
Zip
94804-1938
Phone Number
510-237-9537
Fax Number
510-237-3957
person
Provider Business Mailing Address Details
Address
120 Broadway
City
State
Zip
94804-1938
Phone Number
510-237-9537
Fax Number
510-237-3957
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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