Provider Demographics
NPI:1508010554
Name:PLANNED PARENTHOOD: SHASTA-DIABLO, INC.
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD: SHASTA-DIABLO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-676-0505
Mailing Address - Street 1:3715 RAILROAD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-5236
Mailing Address - Country:US
Mailing Address - Phone:925-439-1237
Mailing Address - Fax:925-439-8974
Practice Address - Street 1:3715 RAILROAD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5236
Practice Address - Country:US
Practice Address - Phone:925-439-1237
Practice Address - Fax:925-439-8974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000798261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health