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
130 LA CASA VIA, BLDG 3-111, WALNUT CREEK, CA 94598-3045
(925) 322-2908
(925) 322-2911
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 948-8143
(925) 215-4540
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7360010008
NSC MEDICARE
—
Enumeration date
11/17/2015
Last updated
03/09/2018
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