| Organization Name: | PALO ALTO SURGERY CENTER |
| NPI Number: | 1013399989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM HERBERT BROWN (PRESIDENT) |
| Mailing Address: | 695 High St Palo Alto |
| State: | CA US |
| Postal Code: | 943011626 |
| Phone Number: | 6505658683 |
| Fax Number: | 6505658684 |
| NPI Enumeration Date: | 06/26/2015 |
| NPI Last Update Date: | 06/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | G46351 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |