Organization
TELECARE CORPORATION
Active
Other names
Telecare Heritage PHF
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 535-5115
(510) 535-5234
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054146
MEDICARE, OSCAR/CERTIFICATION
CA
Enumeration date
05/28/2006
Last updated
03/13/2023
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