Healthcare Provider Details

I. General information

NPI: 1467277962
Provider Name (Legal Business Name): EAST BAY SURGICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 EAST ST
CONCORD CA
94520-1960
US

IV. Provider business mailing address

PO BOX 4421
WALNUT CREEK CA
94596-0421
US

V. Phone/Fax

Practice location:
  • Phone: 925-487-1398
  • Fax:
Mailing address:
  • Phone: 925-487-1398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN HOPKINS
Title or Position: PRESIDENT & CEO
Credential: MD
Phone: 925-487-1398