Organization Name: | BAY AREA SPECIALTY SURGERY CENTER |
NPI Number: | 1427486901 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARUN ANAND (CEO) |
Mailing Address: | 1208 E 5th St 2nd Floor Benicia |
State: | CA US |
Postal Code: | 945103502 |
Phone Number: | 7077455500 |
Fax Number: | 7077455501 |
NPI Enumeration Date: | 10/21/2013 |
NPI Last Update Date: | 10/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | A44609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |