Provider Demographics
NPI:1467827899
Name:PREGNANCY RESOURCE CENTER
Entity Type:Organization
Organization Name:PREGNANCY RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-475-9255
Mailing Address - Street 1:1570 SOQUEL DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-1707
Mailing Address - Country:US
Mailing Address - Phone:831-475-9255
Mailing Address - Fax:
Practice Address - Street 1:1570 SOQUEL DR
Practice Address - Street 2:SUITE 4
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1707
Practice Address - Country:US
Practice Address - Phone:831-475-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA23472261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service