Healthcare Provider Details

I. General information

NPI: 1396023685
Provider Name (Legal Business Name): ROMANA BAILEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4002 VISTA WAY
OCEANSIDE CA
92056-4506
US

IV. Provider business mailing address

TRI CITY MEDICAL CENTER 4002 VISTA WAY
OCEANSIDE CA
92056
US

V. Phone/Fax

Practice location:
  • Phone: 760-724-8411
  • Fax:
Mailing address:
  • Phone: 760-940-3386
  • Fax: 760-940-7770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA72224
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: