Provider Demographics
NPI:1851594493
Name:TELECARE CORPORATION
Entity Type:Organization
Organization Name:TELECARE CORPORATION
Other - Org Name:TELECARE SAN DIEGO REACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINNESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAPHNE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CHRISTIANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-398-2181
Mailing Address - Street 1:446 26TH ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-3026
Mailing Address - Country:US
Mailing Address - Phone:619-398-2181
Mailing Address - Fax:619-398-2171
Practice Address - Street 1:446 26TH ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-3026
Practice Address - Country:US
Practice Address - Phone:619-398-2181
Practice Address - Fax:619-398-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital