Provider Demographics
NPI:1427486901
Name:BAY AREA SPECIALTY SURGERY CENTER
Entity type:Organization
Organization Name:BAY AREA SPECIALTY SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-745-5500
Mailing Address - Street 1:1208 E 5TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-3502
Mailing Address - Country:US
Mailing Address - Phone:707-745-5500
Mailing Address - Fax:707-745-5501
Practice Address - Street 1:1208 E 5TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3502
Practice Address - Country:US
Practice Address - Phone:707-745-5500
Practice Address - Fax:707-745-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-21
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44609261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical