William Bailen

NPI 1649651654 · on the registry since 2015 · sole proprietor

Practice

Address: 989 Avenida Pico
San Clemente, CA 92673
Phone: (949) 369-5596
Fax: (949) 369-5691
Organisation at this address: Savon #6563
Albertsons Llc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-06-16

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