Provider Demographics
NPI:1730474909
Name:PLANNED PARENTHOOD SHASTA PACIFIC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD SHASTA PACIFIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CLIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARR YEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-676-0505
Mailing Address - Street 1:1437 OLYMPIC DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLEARLAKE
Mailing Address - State:CA
Mailing Address - Zip Code:95422
Mailing Address - Country:US
Mailing Address - Phone:707-995-2261
Mailing Address - Fax:707-995-2816
Practice Address - Street 1:2185 PACHECO ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2309
Practice Address - Country:US
Practice Address - Phone:925-676-0505
Practice Address - Fax:925-676-2814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical