Provider Demographics
NPI:1801399522
Name:FOREFRONT TELECARE PC
Entity Type:Organization
Organization Name:FOREFRONT TELECARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF CLIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-385-1774
Mailing Address - Street 1:1633 N MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91784-1732
Mailing Address - Country:US
Mailing Address - Phone:510-201-0190
Mailing Address - Fax:888-972-2903
Practice Address - Street 1:325 13TH ST NE STE 404
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2203
Practice Address - Country:US
Practice Address - Phone:510-201-0190
Practice Address - Fax:888-972-2903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty