Organization
PLANNED PARENTHOOD MAR MONTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MOTSIFF MHA, CMA (CFO)
(408) 795-3707
Entity
Organization
Contact information
Practice address
1431 MCHENRY AVE, SUITE 100, MODESTO, CA 95350-4541
(209) 579-2300
(209) 579-1948
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
030000478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70557G
—
CA
Enumeration date
05/20/2006
Last updated
07/25/2019
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