# BAY AREA SPORTS ORTHOPAEDICS, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1235356213
- **Authorized official:** DAVID CHANG M.D. (PRESIDENT)
- **Authorized official phone:** (510) 834-2276

## Contact information

- **Practice address:** 3300 WEBSTER ST, SUITE 907, OAKLAND, CA 94609-3117
- **Practice address phone:** (510) 834-2276
- **Practice address fax:** (510) 834-2202
- **Mailing address:** 1563 SOLANO AVE, SUITE 336, BERKELEY, CA 94707-2116
- **Mailing address phone:** (510) 834-2276
- **Mailing address fax:** (510) 834-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 07/11/2007