Organization
TELECARE CORPORATION
Active
Other names
SANTA CRUZ COUNTY PHF
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 747-0552
Entity
Organization
Contact information
Practice address
2250 SOQUEL AVE, SUITE 150, SANTA CRUZ, CA 95062-1402
(831) 600-2801
(831) 600-2820
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA131235
MEDICARE PTAN - PART B
CA
Enumeration date
03/26/2013
Last updated
12/12/2022
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