Organization · Type 2 NPI

Telecare Corporation

Mental Health Clinic/Center (Including Community Mental Health Center) · San Diego, CA

NPI number 1114447141 Active

Practice location

6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425

Call (619) 481-3850 Map

Fax (619) 481-3851

Mailing address

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1114447141
Entity type: Organization (Type 2)
Issued: Jun 21, 2017
Last updated: Sep 8, 2026
Status: Active

Other names

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Telecare Agewise Icm · doing business as
Telecare Agewise Icm · doing business as

Authorized official

Lorena Lopez
Provider Relations Supervisor
(510) 292-7024

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114447141

Telecare Corporation's National Provider Identifier is 1114447141, issued on Jun 21, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Diego, CA. The record was last updated on Sep 8, 2026.