| Telecare Inland Empire Coordinated Care | |
|
2080 S E St Suite 200 San Bernardino CA 92408-2773 | |
| (909) 825-8989 | |
| (909) 825-3464 |
| Full Name | Telecare Inland Empire Coordinated Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2080 S E St, San Bernardino, 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 |
|---|---|
| Telecare Inland Empire Coordinated Care 1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | Telecare Inland Empire Coordinated Care 2080 S E St Suite 200 San Bernardino CA 92408-2773 Ph: (909) 825-8989 |
| NPI Number | 1326444662 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326444662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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