Telecare La Conexion Ifsp | |
800 N 1st St San Jose CA 95112-6312 | |
(669) 245-3429 | |
(408) 550-7433 |
Full Name | Telecare La Conexion Ifsp |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 800 N 1st St, San Jose, California |
Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
Authorized Official Contact | 5103377950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Telecare La Conexion Ifsp 1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: () - | Telecare La Conexion Ifsp 800 N 1st St San Jose CA 95112-6312 Ph: (669) 245-3429 |
NPI Number | 1306487293 |
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Provider Enumeration Date | 10/02/2019 |
Last Update Date | 03/01/2023 |
Certification Date | 03/01/2023 |
Identifier | Type | State | Issuer |
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1306487293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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