# BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1760856579
- **Authorized official:** INEZ WONDEH (COO)
- **Authorized official phone:** (925) 948-8143

## Contact information

- **Practice address:** 130 LA CASA VIA, BLDG 3-111, WALNUT CREEK, CA 94598-3045
- **Practice address phone:** (925) 322-2908
- **Practice address fax:** (925) 322-2911
- **Mailing address:** 2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
- **Mailing address phone:** (925) 948-8143
- **Mailing address fax:** (925) 215-4540

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 03/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7360010008 | NSC MEDICARE | — |