Organization
TELECARE CORPORATION
Active
Other names
LA FSP 4
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
1111 W 6TH ST, SUITE 111, LOS ANGELES, CA 90017-1800
(213) 482-6400
(213) 482-6408
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
Enumeration date
01/17/2007
Last updated
03/09/2023
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