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Organization

TELECARE CORPORATION

Active
Other names
Telecare LA - ACT Older Adults
Organization subpart
No

Provider details

NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(105) 337-7950
Entity
Organization

Contact information

Practice address
12501 IMPERIAL HWY STE 500A, NORWALK, CA 90650-3179
(562) 929-6688
(562) 335-8685
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
7250
COUNTY MENTAL HEALTH CERTIFICATE
CA
Enumeration date
10/10/2006
Last updated
07/14/2023
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