Organization
BAY AREA SURGICAL SPECIALISTS, INC A MEDICAL CORPORATION
Active
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
100 ROWLAND WAY, SUITE 200, NOVATO, CA 94945-5011
(415) 878-0255
(925) 287-0913
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 627-3424
(925) 627-3560
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7360010014
NSC MEDICARE
—
Enumeration date
03/07/2016
Last updated
03/09/2018
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