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
2180 W GRANT LINE RD STE 100, TRACY, CA 95377-7343
(925) 463-0470
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 637-3424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
07/11/2023
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