Healthcare Provider Details

I. General information

NPI: 1205775848
Provider Name (Legal Business Name): FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18321 VENTURA BLVD STE 500
TARZANA CA
91356-4248
US

IV. Provider business mailing address

164 W HOSPITALITY LN STE 1A
SAN BERNARDINO CA
92408-3328
US

V. Phone/Fax

Practice location:
  • Phone: 909-382-0201
  • Fax: 909-494-9989
Mailing address:
  • Phone:
  • Fax: 909-382-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSUE MORAN
Title or Position: DIRECTOR OF ADMINISTRATIVE SERVICES
Credential:
Phone: 909-723-1044