Organization
NIMA MASSOOMI DME MED MD INC.
Active
Other names
Bay Area Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA MASSOOMI MD, DMD, MED (CEO, SURGEON)
(408) 358-5000
Entity
Organization
Contact information
Practice address
15780 LOS GATOS BLVD, LOS GATOS, CA 95032-2508
(408) 358-5000
(408) 358-7936
Mailing address
15780 LOS GATOS BLVD, LOS GATOS, CA 95032-2508
(408) 358-5000
(408) 358-7936
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
08/07/2024
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