Telecare San Bernardino Act | |
2080 S E St Ste 100 San Bernardino CA 92408-2706 | |
(909) 388-9191 | |
(909) 388-9195 |
Full Name | Telecare San Bernardino Act |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2080 S E St Ste 100, San Bernardino, California |
Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
Authorized Official Contact | 5102927024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Telecare San Bernardino Act 1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | Telecare San Bernardino Act 2080 S E St Ste 100 San Bernardino CA 92408-2706 Ph: (909) 388-9191 |
NPI Number | 1124100383 |
---|---|
Provider Enumeration Date | 10/19/2006 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124100383 | NPI | - | NPPES |
CR722H | Other | CA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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