Organization
TELECARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 238-5020
(510) 261-3584
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
—
81381
COUNTY MENTAL HEATLH CERTIFICATE
CA
Enumeration date
10/31/2006
Last updated
03/03/2023
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