Healthcare Provider Details
I. General information
NPI: 1073108957
Provider Name (Legal Business Name): PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2021
Last Update Date: 09/30/2023
Certification Date: 09/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2651 S C ST STE 100
OXNARD CA
93033-3560
US
IV. Provider business mailing address
518 GARDEN ST
SANTA BARBARA CA
93101-1606
US
V. Phone/Fax
- Phone: 888-898-3806
- Fax:
- Phone: 805-963-2445
- Fax: 805-965-2292
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIANA
RISKOWSKI
Title or Position: CFO
Credential:
Phone: 805-252-5547