| Planned Parenthood Mar Monte, Inc. | |
|
3190 Fabian Way Suite A Tahoe City CA 96145 | |
| (530) 581-6140 | |
| (530) 581-3128 |
| Full Name | Planned Parenthood Mar Monte, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3190 Fabian Way, Tahoe City, 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) 795-3619 | Planned Parenthood Mar Monte, Inc. 3190 Fabian Way Suite A Tahoe City CA 96145 Ph: (530) 581-6140 |
| NPI Number | 1811286453 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 07/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811286453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | PENDING (California) | Primary |
Truckee Tahoe Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 N Lake Blvd, Tahoe City, CA 96145 Phone: 530-581-8864 |