| Organization Name: | GREENBRAE SURGERY CENTER |
| NPI Number: | 1144316001 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON MARIE SMITH (INTERIM ADMINISTRATOR) |
| Mailing Address: | 575 Sir Francis Drake Blvd Suite 3 Greenbrae |
| State: | CA US |
| Postal Code: | 949042306 |
| Phone Number: | 4159258900 |
| Fax Number: | 4159258908 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |