| Planned Parenthood Mar Monte, Inc | |
|
965 E Yosemite Ave Suite 2 Manteca CA 95336-5938 | |
| (209) 239-2528 | |
| (209) 239-8217 |
| Full Name | Planned Parenthood Mar Monte, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 965 E Yosemite Ave, Manteca, California |
| Authorized Official Name and Position | Tom Motsiff (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 965 E Yosemite Ave Suite 2 Manteca CA 95336-5938 Ph: (209) 239-2528 |
| NPI Number | 1487607222 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487607222 | NPI | - | NPPES |
| CMM70809F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 030000666 (California) | Primary |
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