Healthcare Provider Details

I. General information

NPI: 1184641664
Provider Name (Legal Business Name): PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 RALSTON STREET
VENTURA CA
93003
US

IV. Provider business mailing address

518 GARDEN STREET
SANTA BARBARA CA
93101
US

V. Phone/Fax

Practice location:
  • Phone: 805-963-2445
  • Fax: 805-965-2292
Mailing address:
  • Phone: 805-963-2445
  • Fax: 805-965-2292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number050000209
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNA TOSH
Title or Position: PRESIDENT/CEO
Credential:
Phone: 805-963-2445