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NPI Code Detail

MEDICARE: KATHERINE BAILEY

MEDICARE: KATHERINE BAILEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician184692CA

General Provider Information

NPI Number : 1891322640
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE BAILEY
Provider Business Mailing Address
First Line : 13652 CANTARA ST BLDG 4
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-5423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13652 CANTARA ST BLDG 4
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-5423
Country : US
Telephone Number : 833-574-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 06/25/2026

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Directions to “ KATHERINE BAILEY ” Practice Location

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