Organization
PLANNED PARENTHOOD PACIFIC SOUTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA E GONZALES (DIRECTOR OF BILLING)
(619) 881-4516
Entity
Organization
Contact information
Practice address
4305 UNIVERSITY AVE STE 350, SAN DIEGO, CA 92105-8602
(619) 881-4516
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4516
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71146F
—
CA
Enumeration date
09/05/2007
Last updated
07/21/2022
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