Organization
PLANNED PARENTHOOD GOLDEN GATE-SAN RAFAEL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAN HARRISON (CEO)
(650) 574-5823
Entity
Organization
Contact information
Practice address
2 H ST, SAN RAFAEL, CA 94901-1700
(415) 485-4925
Mailing address
2211 PALM AVE, SAN MATEO, CA 94403-1814
(650) 574-5823
(650) 377-0812
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB13115F
—
CA
Enumeration date
04/04/2007
Last updated
08/22/2020
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