# BASS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1396434676
- **Authorized official:** INEZ WONDEH (CEO)
- **Authorized official phone:** (925) 948-8143

## Contact information

- **Practice address:** 4626 WILLOW RD STE 200, PLEASANTON, CA 94588-8564
- **Practice address phone:** (925) 463-0470
- **Mailing address:** 2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
- **Mailing address phone:** (925) 627-3424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2023
- **Last updated:** 07/11/2023