Organization
TELECARE CORPORATION
Active
Other names
Telecare San Bernardino ACT
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 292-7024
Entity
Organization
Contact information
Practice address
2080 S E ST STE 100, SAN BERNARDINO, CA 92408-2706
(909) 388-9191
(909) 388-9195
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-6427
(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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR722H
MEDICARE
CA
Enumeration date
10/19/2006
Last updated
02/26/2024
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