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TELECARE SAN DIEGO REACH NPI 1730227653


NPI Information

NPI: 1730227653
Provider Name: TELECARE SAN DIEGO REACH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
446 26TH ST FL 6
SAN DIEGO, CA
ZIP 92102
Phone: (619) 398-2181
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TELECARE SAN DIEGO REACH is a mental health (including community mental health center) clinic center in San Diego, CA. TELECARE SAN DIEGO REACH NPI is 1730227653. The provider is registered as an organization entity type.

The provider's business location address is:

446 26TH ST FL 6
SAN DIEGO, CA
ZIP 92102-026
Phone: (619) 398-2181
Fax: (619) 398-2171

The provider's authorized official is Gabriel Banuelos .
The authorized official title is Personal Service Coordinator I and has the following contact phone number (619) 398-2181.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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