Bass Medical Group | |
221 E Hacienda Ave Ste C Campbell CA 95008-6625 | |
(408) 404-4700 | |
Not Available |
Full Name | Bass Medical Group |
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Speciality | Family Medicine |
Location | 221 E Hacienda Ave Ste C, Campbell, California |
Authorized Official Name and Position | Inez C Wondeh (CEO) |
Authorized Official Contact | 9253780363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bass Medical Group 2637 Shadelands Dr Walnut Creek CA 94598-2512 Ph: (925) 378-4512 | Bass Medical Group 221 E Hacienda Ave Ste C Campbell CA 95008-6625 Ph: (408) 404-4700 |
NPI Number | 1356114334 |
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Provider Enumeration Date | 11/01/2023 |
Last Update Date | 11/01/2023 |
Medicare PECOS PAC ID | 9032111281 |
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Medicare Enrollment ID | O20240405000960 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356114334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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