| Telecare Kaiser Oakland Ict | |
|
7200 Bancroft Ave. Suite 133, Building B Oakland CA 94605-2480 | |
| (510) 553-8500 | |
| (510) 553-8550 |
| Full Name | Telecare Kaiser Oakland Ict |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7200 Bancroft Ave., Oakland, 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 Kaiser Oakland Ict 1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Telecare Kaiser Oakland Ict 7200 Bancroft Ave. Suite 133, Building B Oakland CA 94605-2480 Ph: (510) 553-8500 |
| NPI Number | 1174050389 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174050389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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