Organization
PLANNED PARENTHOOD PACIFIC SOUTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GONZALES (DIRECTOR)
(619) 881-4500
Entity
Organization
Contact information
Practice address
10717 CAMINO RUIZ STE 258, SAN DIEGO, CA 92126-2364
(619) 881-4500
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70393F
—
CA
Enumeration date
07/11/2006
Last updated
07/21/2022
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