Organization
PLANNED PARENTHOOD SHASTA DIABLO INC
Active
Other names
Planned Parenthood Northern California Reference Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMILLE HAMLET (INTERIM DIRECTOR OF HUMAN RESOURCES)
(925) 887-5364
Entity
Organization
Contact information
Practice address
2 H ST FL 1, SAN RAFAEL, CA 94901-1700
(925) 887-5233
Mailing address
2185 PACHECO ST, CONCORD, CA 94520-2309
(925) 348-5597
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDF-90005638
STATE LICENSE
CA
Enumeration date
02/28/2022
Last updated
02/28/2022
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