Organization
TELECARE CORPORATION
Active
Other names
Telecare Vista
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 747-0552
Entity
Organization
Contact information
Practice address
4601 TELEPHONE RD STE 117, VENTURA, CA 93003-5672
(805) 642-7033
(805) 642-7732
Mailing address
1080 MARINA VILLAGE PARKWAY, SUITE 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56BF
—
CA
Enumeration date
05/22/2007
Last updated
10/17/2022
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