Organization
EAST VALLEY COMMUNITY CLINIC, INC.
Active
Organization
EAST VALLEY COMMUNITY CLINIC, INC.
Active
Parent organization
PLANNED PARENTHOOD MAR MONTE, INC.
Other names
Mar Monte Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLANNED PARENTHOOD MAR MONTE, INC.
Authorized official
RAYROZ DODSON-CRAWFORD (CFO)
(408) 795-3607
Entity
Organization
Contact information
Practice address
2470 ALVIN AVE, SUITE 60, SAN JOSE, CA 95121-1664
(408) 274-7100
(408) 274-8763
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3600
(408) 287-0405
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
070000036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP11665F
—
CA
05
—
HAP11665F
—
CA
05
—
ZZR11665F
—
CA
Enumeration date
05/20/2006
Last updated
03/25/2014
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