# TELECARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528595360
- **Authorized official:** JOHNNY BLACKWELL M.D. (PSC)
- **Authorized official phone:** (619) 382-9902

## Contact information

- **Practice address:** 776 FLORENCE ST, SAN DIEGO, CA 92132-0001
- **Practice address phone:** (619) 382-9902
- **Mailing address:** 776 FLORENCE ST, SAN DIEGO, CA 92132-0001
- **Mailing address phone:** (619) 382-9902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017