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Contact Information

BASS MEDICAL GROUP
2350 COUNTRY HILLS DR
SUITE B
ANTIOCH, CA94509-7436
 Phone: 925-528-2663
 Fax: 925-757-2160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BASS MEDICAL GROUP

NPI Number 1396124574
LBN Legal business name BASS MEDICAL GROUP
Authorized official INEZ WONDEH - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2015
Last updated 10/18/2023 - About 3 years ago
Identifiers
Other 7360010003 NSC MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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