Organization
BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION
Active
Parent organization
BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION
Other names
BASS Medical Group Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION
Authorized official
BONNIE POTTER (CREDENTIALING MANAGER)
(925) 948-8143
Entity
Organization
Contact information
Practice address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 329-6416
(925) 357-3980
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 329-6416
(925) 357-3980
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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