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NPI Code Detail

MEDICARE: PLANNED PARENTHOOD MAR MONTE, INC.

MEDICARE: PLANNED PARENTHOOD MAR MONTE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center

General Provider Information

NPI Number : 1598561805
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANNED PARENTHOOD MAR MONTE, INC.
Provider Business Mailing Address
First Line : 1691 THE ALAMEDA
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-2203
Country : US
Telephone Number : 408-795-3600
Fax Number :
Provider Business Practice Location Address
First Line : 2225 CIVIC CENTER DR STE 230
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-6332
Country : US
Telephone Number : 408-795-3600
Fax Number :
Authorized Official
Title or Position : CHIEF MEDICAL OPERATING OFFICER
Name : LAURA ELIZABETH DALTON
Credential : DO
Telephone Number : 408-795-3626
Provider Enumeration Date : 02/19/2025
Last Update Date : 02/19/2025

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Directions to “PLANNED PARENTHOOD MAR MONTE, INC. ” Practice Location

Language Start Address Practice Location
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