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Jared Bailey

NPI 1417648924 · on the registry since 2023

Practice

Address
1630 W 6th Street
San Pedro, CA 90732
Phone
(424) 529-3020

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
225400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California