Healthcare Provider Details

I. General information

NPI: 1497708770
Provider Name (Legal Business Name): PLANNED PARENTHOOD MAR MONTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8025 S VIRGINIA ST
RENO NV
89511-8940
US

IV. Provider business mailing address

1691 THE ALAMEDA
SAN JOSE CA
95126-2203
US

V. Phone/Fax

Practice location:
  • Phone: 775-688-5555
  • Fax:
Mailing address:
  • Phone: 408-795-3695
  • Fax: 775-688-5598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number StateNV

VIII. Authorized Official

Name: MR. TOM MOTSIFF
Title or Position: CFO
Credential: MHA, CMA
Phone: 408-795-3707