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NPI 1861636177

NPI 1861636177 : PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC : ALHAMBRA, CA

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General NPI Number Information
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    NPI Number           |    1861636177
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC 
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Dates
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    Enumeration Date     |    04/30/2009
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    330 S GARFIELD AVE STE 300 
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    City                 |    ALHAMBRA
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    State                |    CA
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    Zip                  |    91801-3893
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    Country              |    US
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    Telephone            |    626-798-0706
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    620 N LAKE AVE 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91101-1220
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    Country              |    US
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    Telephone            |    626-794-5737
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    Fax                  |    626-794-2533
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Authorized Official
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    Title or Position    |    REVENUE CYCLE DIRECTOR
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    Name                 |     MIRELLA I MCCOY 
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    Credential           |    
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    Telephone            |    626-794-5737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251V00000X
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    Taxonomy Name        |    Voluntary or Charitable Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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    License Number       |    
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    License Number State |    
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