Organization
PLANNED PARENTHOOD MAR MONTE
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
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3600
(408) 287-0405
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3600
(408) 287-0405
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 4187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0608282
CLIA
—
01
—
LAB08282F
MEDI-CAL
CA
Enumeration date
08/17/2007
Last updated
07/25/2019
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