# PLASTIC SURGERY SPECIALISTS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184801854
- **Authorized official:** HOLLY PRUETT (ADMINISTRATOR)
- **Authorized official phone:** (415) 925-2880

## Contact information

- **Practice address:** 350 BON AIR RD, SUITE 300, GREENBRAE, CA 94904-1752
- **Practice address phone:** (415) 925-2880
- **Practice address fax:** (415) 925-2884
- **Mailing address:** 350 BON AIR RD, SUITE 300, GREENBRAE, CA 94904-1752
- **Mailing address phone:** (415) 925-2880
- **Mailing address fax:** (415) 925-2884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2008
- **Last updated:** 04/20/2010