Organization · NPI-2

Bay Area Surgical Specialists INC A Medical Corporation

Clinic/Center, Sleep Disorder Diagnostic · Sunnyvale, CA

NPI number1083171268
StatusActive
Last updated in NPPESMar 25, 2021

Details

NPI
1083171268
Entity type
Organization (NPI-2)
Legal business name
Bay Area Surgical Specialists INC A Medical Corporation
Organization subpart
No
Enumeration date
Feb 25, 2019
Certification date
Mar 25, 2021
Last updated
Mar 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Other names

  • Bass Medical Group (Other Name)

Practice location

1208 E Arques Ave Ste 113
Sunnyvale, CA 94085-5419

Phone 408-730-8082 · Fax 087-300-5484

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Phone 925-948-8143 · Fax 925-215-4540

Authorized official

Gregory A Rhodes
President, Authorized Official
9259326330

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