| Planned Parenthood Mar Monte, Inc | |
|
760 Renz Lane Gilroy CA 95020-0000 | |
| (408) 847-1739 | |
| (408) 847-5146 |
| Full Name | Planned Parenthood Mar Monte, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 760 Renz Lane, Gilroy, California |
| Authorized Official Name and Position | Tom Mostiff (CFO) |
| Authorized Official Contact | 4087953707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Mar Monte, Inc 1691 The Alameda San Jose CA 95126-2203 Ph: (408) 795-3600 | Planned Parenthood Mar Monte, Inc 760 Renz Lane Gilroy CA 95020-0000 Ph: (408) 847-1739 |
| NPI Number | 1053364109 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053364109 | NPI | - | NPPES |
| CMM70243F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 070000170 (California) | Primary |
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