Organization
TELECARE CORPORATION
Active
Other names
Telecare Santa Maria Adult/Older Adult FSP
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
124 W. CARMEN LANE, SUITE A, SANTA MARIA, CA 93458-7768
(805) 348-1850
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
05
—
000009177
—
CA
Enumeration date
11/20/2008
Last updated
07/14/2023
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