Organization
BAY AREA SURGICAL SPECIALISTS, INC. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INEZ WONDEH (CEO)
(925) 948-8143
Entity
Organization
Contact information
Practice address
400 TAYLOR BLVD, SUITE 301, PLEASANT HILL, CA 94523-2147
(925) 602-7060
(905) 602-7070
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 948-8143
(925) 215-4540
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7360010005
NSC MEDICARE
—
Enumeration date
08/21/2015
Last updated
03/09/2018
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