MEDICARE: PLANNED PARENTHOOD LOS ANGELES - HOLLYWOOD CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center	960000297	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861581043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD LOS ANGELES - HOLLYWOOD CENTER

Provider Business Mailing Address
First Line	:	400 W 30TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90007-3320
Country	:	US
Telephone Number	:	213-284-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1014 1/2 N VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-2620
Country	:	US
Telephone Number	:	213-284-3115
Fax Number	:	323-664-3602

Authorized Official
Title or Position	:	CFO
Name	:	LINDA PAHL
Credential	:
Telephone Number	:	213-284-3210

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/10/2021

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