Bay Area Surgical Specialists, Inc a Medical Corporation

Organization Active NPI Anesthesiology Physician · Novato, CA

NPI 1376903153 · NPPES record last updated Mar 9, 2018

Key facts

NPI
1376903153
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
BAY AREA SURGICAL SPECIALISTS, INC A MEDICAL CORPORATION
Practice address
100 Rowland Way
Suite 200
Novato, CA 94945-5011
Phone
(415) 878-0255
Fax
(925) 287-0913
NPI assigned
Mar 7, 2016
Organization subpart
No

Authorized official

Name
Inez Wondeh
Title
Coo
Phone
(925) 948-8143

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X Yes
Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208VP0000X

Addresses

Primary practice location

100 Rowland Way
Suite 200
Novato, CA 94945-5011

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 627-3424

Other identifiers

IdentifierTypeStateIssuer
7360010014OtherNSC MEDICARE

Other providers in Novato, CA

All providers in Novato, CA · Anesthesiology Physician in California

Sources for this page

Verify at the official NPI Registry.