Organization
PLANNED PARENTHOOD MAR MONTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MOSTIFF MHA,CMA (CFO)
(408) 795-3707
Entity
Organization
Contact information
Practice address
760 RENZ LANE, GILROY, CA 95020-0000
(408) 847-1739
(408) 847-5146
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3600
(408) 971-6935
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
070000170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70243F
—
CA
Enumeration date
05/18/2006
Last updated
07/25/2019
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