Healthcare Provider Details
I. General information
NPI: 1407764780
Provider Name (Legal Business Name): PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO COUNTIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9699 SIERRA AVE
FONTANA CA
92335-5716
US
IV. Provider business mailing address
801 E KATELLA AVE
ANAHEIM CA
92805-6614
US
V. Phone/Fax
- Phone: 909-890-5511
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
CHINEN
Title or Position: CFO
Credential:
Phone: 714-633-6373