| Telecare La - Act Older Adults | |
|
12501 Imperial Hwy Ste 500a Norwalk CA 90650-3179 | |
| (562) 929-6688 | |
| (562) 335-8685 |
| Full Name | Telecare La - Act Older Adults |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12501 Imperial Hwy Ste 500a, Norwalk, California |
| Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 1053377950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telecare La - Act Older Adults 1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | Telecare La - Act Older Adults 12501 Imperial Hwy Ste 500a Norwalk CA 90650-3179 Ph: (562) 929-6688 |
| NPI Number | 1669560488 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669560488 | NPI | - | NPPES |
| 7250 | 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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