Organization
BASS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INEZ WONDEH (CEO)
(925) 948-8143
Entity
Organization
Contact information
Practice address
4626 WILLOW RD STE 200, PLEASANTON, CA 94588-8564
(925) 463-0470
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 627-3424
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
07/11/2023
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