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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)

General Provider Information

NPI Number : 1982071502
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELECARE CORPORATION
Provider Business Mailing Address
First Line : 1080 MARINA VILLAGE PARKWAY
Second Line : SUITE 100
City : ALAMEDA
State : CA
Zip : 94501-1078
Country : US
Telephone Number : 510-337-7950
Fax Number : 510-337-7969
Provider Business Practice Location Address
First Line : 4545 GEORGETOWN PLACE
Second Line : SUITE A3
City : STOCKTON
State : CA
Zip : 95207-6228
Country : US
Telephone Number : 510-337-7950
Fax Number : 510-337-7969
Authorized Official
Title or Position : PROVIDER RELATIONS SUPERVISOR
Name : LORENA LOPEZ
Credential :
Telephone Number : 510-337-7950
Provider Enumeration Date : 08/31/2015
Last Update Date : 03/29/2023

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Directions to “TELECARE CORPORATION ” Practice Location

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