Provider Demographics
NPI:1659671253
Name:BAY AREA SURGICAL MANAGEMENT LLC
Entity Type:Organization
Organization Name:BAY AREA SURGICAL MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLFAGHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-642-4879
Mailing Address - Street 1:20398 BLAUER DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4307
Mailing Address - Country:US
Mailing Address - Phone:408-359-1070
Mailing Address - Fax:408-296-5556
Practice Address - Street 1:20398 BLAUER DR
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4307
Practice Address - Country:US
Practice Address - Phone:408-359-1070
Practice Address - Fax:408-296-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical