Organization
TELECARE CORPORATION
Active
Other names
Telecare MLK ADULT PHF
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 292-7024
Entity
Organization
Contact information
Practice address
12021 WILMINGTON AVE UNIT 4A, LOS ANGELES, CA 90059-3019
(510) 337-7950
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
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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