| Planned Parenthood Of The Pacific Southwest | |
|
4575 College Ave San Diego CA 92115-4011 | |
| (619) 881-4500 | |
| Not Available |
| Full Name | Planned Parenthood Of The Pacific Southwest |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4575 College Ave, San Diego, California |
| Authorized Official Name and Position | Theresa Gonzales (DIRECTOR OF BILLING) |
| Authorized Official Contact | 6198814500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Of The Pacific Southwest 1075 Camino Del Rio S San Diego CA 92108-3538 Ph: (619) 881-4500 | Planned Parenthood Of The Pacific Southwest 4575 College Ave San Diego CA 92115-4011 Ph: (619) 881-4500 |
| NPI Number | 1427081652 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427081652 | NPI | - | NPPES |
| CMM70200F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (California) | Primary |
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