# BASS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1326409343
- **Authorized official:** INEZ WONDEH (CEO)
- **Authorized official phone:** (925) 378-4512

## Contact information

- **Practice address:** 5127 W NOBLE AVE, VISALIA, CA 93291
- **Practice address phone:** (559) 713-6515
- **Practice address fax:** (559) 713-6516
- **Mailing address:** 2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
- **Mailing address phone:** (925) 627-3424
- **Mailing address fax:** (925) 627-3560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 10/18/2023