Organization
PLANNED PARENTHOOD PACIFIC SOUTHWEST
Active
Organization
PLANNED PARENTHOOD PACIFIC SOUTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GONZALES (DIRECTOR)
(619) 881-4516
Entity
Organization
Contact information
Practice address
2017 1ST AVE STE 300, SAN DIEGO, CA 92101-2033
(619) 881-4516
(619) 291-6855
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4516
(619) 291-6855
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1062703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB62703F
—
CA
Enumeration date
05/30/2007
Last updated
01/24/2013
Update your record
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