Provider Demographics
NPI:1710537303
Name:PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
Other - Org Name:PLANNED PARENTHOOD PASADENA - BALDWIN PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIRELLA
Authorized Official - Middle Name:I
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-794-5737
Mailing Address - Street 1:2333 LAKE AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-2463
Mailing Address - Country:US
Mailing Address - Phone:626-794-3757
Mailing Address - Fax:
Practice Address - Street 1:4070 STERLING WAY
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-4223
Practice Address - Country:US
Practice Address - Phone:626-798-0706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLANNED PARENTHOOD OF PASADENA AND SAN GABRIEL VALLEY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-16
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251V00000XAgenciesVoluntary or Charitable