PLASTIC SURGERY SPECIALISTS, INC – NPI #1184801854
Clinic/Center

PLASTIC SURGERY SPECIALISTS, INC is an AHC clinic located in GREENBRAE, CA. NPPES has assigned the NPI number 1184801854 to PLASTIC SURGERY SPECIALISTS, INC on January 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 16 years ago on Apr 20, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PLASTIC SURGERY SPECIALISTS, INC below.

NPI Profile for
PLASTIC SURGERY SPECIALISTS, INC

NPI Number
1184801854
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PLASTIC SURGERY SPECIALISTS, INC
Primary location
350 BON AIR RD
SUITE 300
GREENBRAE, CA 94904-1752
Phone: (415) 925-2880 Fax: (415) 925-2884
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HOLLY PRUETT
ADMINISTRATOR
Phone: (415) 925-2880
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.