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NPI Code Detail

MEDICARE: TELECARE CORPORATION

MEDICARE: TELECARE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)DMH 7250CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17406OTHERCACOUNTY MENTAL HEALTH CERTIFICATE

General Provider Information

NPI Number : 1215013461
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELECARE CORPORATION
Provider Business Mailing Address
First Line : 1080 MARINA VILLAGE PKWY
Second Line : SUITE 100
City : ALAMEDA
State : CA
Zip : 94501-6427
Country : US
Telephone Number : 510-337-7950
Fax Number : 510-337-7969
Provider Business Practice Location Address
First Line : 9901 ARTESIA BLVD.
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-6713
Country : US
Telephone Number : 562-484-3385
Fax Number : 562-484-0269
Authorized Official
Title or Position : PROVIDER RELATIONS SUPERVISOR
Name : LORENA LOPEZ
Credential :
Telephone Number : 510-292-7024
Provider Enumeration Date : 10/31/2006
Last Update Date : 10/05/2022

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1124156583 — RACHEL CARIN SCHWARTZ PH.D.
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1972762763 — MRS. SUZANNE R CORTEZ LCSW
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90706-6713
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Practice Fax:
1841432895 — MRS. VY THAO TRAN LCSW
Practice Location Address:
9901 ARTESIA BLVD
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90706-6713
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Practice Fax: 562-484-0269

Directions to “TELECARE CORPORATION ” Practice Location

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