# ASSOCIATED SURGEONS OF HAYWARD

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

## Provider details

- **NPI number:** 1154700169
- **Authorized official:** GREGG THOMAS POTTORFF DO (CEO)
- **Authorized official phone:** (510) 886-8844

## Contact information

- **Practice address:** 19842 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-4002
- **Practice address phone:** (510) 886-8844
- **Mailing address:** 175 N REDWOOD DR, SUITE 275, SAN RAFAEL, CA 94903-1972
- **Mailing address phone:** (415) 331-8390
- **Mailing address fax:** (415) 331-8380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G61064 | CA | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015