Organization
TELECARE CORPORATION
Active
Other names
Kaiser Fontana
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
2080 S E ST STE 200, SAN BERNARDINO, CA 92408-2746
(909) 825-8989
(909) 825-3464
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(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
Enumeration date
05/03/2019
Last updated
03/06/2023
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