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Organization
TELECARE CORPORATION
Active
Organization
TELECARE CORPORATION
Active
Other names
Vida ACT
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 292-7024
Entity
Organization
Contact information
Practice address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
(619) 332-5830
(619) 810-2313
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
09/08/2026
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