Organization
TELECARE CORPORATION
Active
Organization
TELECARE CORPORATION
Active
Other names
Telecare Willow Rock Center
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
2050 FAIRMONT DR, 2 BLDG. C-D, SAN LEANDRO, CA 94578-1001
(510) 895-5502
(510) 895-7404
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
02016039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05 4149
MEDICARE
CA
05
—
05 4149
—
CA
Enumeration date
04/19/2007
Last updated
03/01/2023
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