Organization
TELECARE CORPORATION
Active
Other names
Telecare AgeWise
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
6160 MISSION GORGE RD, SUITE 108, SAN DIEGO, CA 92120-3410
(619) 481-5200
(619) 481-5217
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
—
CA
Other
Enumeration date
06/13/2012
Last updated
03/01/2023
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