| Telecare La Jimhcs | |
|
3125 N Broadway Los Angeles CA 90031-2703 | |
| (562) 574-2637 | |
| (213) 533-1066 |
| Full Name | Telecare La Jimhcs |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3125 N Broadway, Los Angeles, 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 La Jimhcs 1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Telecare La Jimhcs 3125 N Broadway Los Angeles CA 90031-2703 Ph: (562) 574-2637 |
| NPI Number | 1962247296 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962247296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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