| NPI | 1689762486 |
|---|---|
| Other Name | TELECARE MCMILLAN RANCH |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: CA DDS 425808215) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-03-08 |