Healthcare Provider Details

I. General information

NPI: 1578516530
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: 07/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4385 NEIL RD SUITE 105
RENO NV
89502-5103
US

IV. Provider business mailing address

4385 NEIL RD SUITE 105
RENO NV
89502-5103
US

V. Phone/Fax

Practice location:
  • Phone: 775-829-2211
  • Fax: 775-829-4391
Mailing address:
  • Phone: 775-829-2211
  • Fax: 775-829-4391

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