Adult Telecare La Services 7 (atlas) | |
12501 Imperial Hwy Ste 500b Norwalk CA 90650-3179 | |
(562) 864-7821 | |
(562) 864-7864 |
Full Name | Adult Telecare La Services 7 (atlas) |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 12501 Imperial Hwy Ste 500b, Norwalk, California |
Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
Authorized Official Contact | 5103377950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Adult Telecare La Services 7 (atlas) 1080 Marina Village Pkwy Suite 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Adult Telecare La Services 7 (atlas) 12501 Imperial Hwy Ste 500b Norwalk CA 90650-3179 Ph: (562) 864-7821 |
NPI Number | 1922171073 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 07/14/2023 |
Certification Date | 07/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922171073 | NPI | - | NPPES |
7647 | Other | CA | COUNTY MENTAL HEALTH CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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