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Organization
TELECARE CORPORATION
Active
Organization
TELECARE CORPORATION
Active
Other names
Telecare AgeWise ICM
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 292-7024
Entity
Organization
Contact information
Practice address
6160 MISSION GORGE RD STE 108, SAN DIEGO, CA 92120-3425
(619) 481-3850
(619) 481-3851
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
09/08/2026
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