Organization
BAY AREA SURGICAL SPECIALISTS, INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INEZ WONDEH (COO)
(925) 948-8143
Entity
Organization
Contact information
Practice address
2825 J ST, SUITE 440, SACRAMENTO, CA 95816-4300
(925) 492-2110
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 627-3424
(925) 627-3560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7360010006
NSC MEDICARE
—
Enumeration date
03/15/2016
Last updated
03/09/2018
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