Healthcare Provider Details

I. General information

NPI: 1619476587
Provider Name (Legal Business Name): B&S CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 07/01/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31897 DEL OBISPO ST STE 115
SAN JUAN CAPISTRANO CA
92675-3207
US

IV. Provider business mailing address

30632 MARILYN DR
LAGUNA BEACH CA
92651
US

V. Phone/Fax

Practice location:
  • Phone: 949-429-3200
  • Fax: 949-429-3600
Mailing address:
  • Phone: 661-492-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: BRYNN CHRISTIN BAILEY
Title or Position: PRESIDENT
Credential: PA-C
Phone: 661-492-6736