Organization
BASS MEDICAL GROUP
Active
Parent organization
BASS MEDICAL GROUP
Other names
Advanced Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BASS MEDICAL GROUP
Authorized official
PAULA HEWITT (ENROLLMENT COORDINATOR)
(925) 378-4512
Entity
Organization
Contact information
Practice address
763 ALTOS OAKS DR STE 2, LOS ALTOS, CA 94024-5400
(408) 356-0444
(408) 358-5125
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 627-3424
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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