Healthcare Provider Details

I. General information

NPI: 1437087855
Provider Name (Legal Business Name): KARLEN BAILIE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2044 INDEPENDENCE DR
TURLOCK CA
95382-6713
US

IV. Provider business mailing address

2044 INDEPENDENCE DR
TURLOCK CA
95382-6713
US

V. Phone/Fax

Practice location:
  • Phone: 209-345-0917
  • Fax:
Mailing address:
  • Phone: 209-345-0917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberG061692
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: