Organization Name: | PLANNED PARENTHOOD MAR MONTE, INC |
NPI Number: | 1053364109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN GIAMBRUNO (CFO) |
Mailing Address: | 760 Renz Lane Gilroy |
State: | CA US |
Postal Code: | 950200000 |
Phone Number: | 4088471739 |
Fax Number: | 4088475146 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 02/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | 070000170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |