Provider Demographics
NPI:1841423225
Name:FAMILY PLANNING SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:FAMILY PLANNING SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARMET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-500-6102
Mailing Address - Street 1:625 N A ST
Mailing Address - Street 2:SUITE # 300
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-4919
Mailing Address - Country:US
Mailing Address - Phone:805-288-5140
Mailing Address - Fax:805-288-5138
Practice Address - Street 1:625 N A ST
Practice Address - Street 2:SUITE # 300
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4919
Practice Address - Country:US
Practice Address - Phone:805-288-5140
Practice Address - Fax:805-288-5138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA23134261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA23134OtherCALIF. STATE MEDICAL LICENSE
CA1477567667OtherNPI
CA1477567667OtherNPI