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NPI Code Detail

MEDICARE: MS. BRANDY BAILEY MCW II

MEDICARE: MS. BRANDY BAILEY MCW II
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1225100233
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRANDY BAILEY MCW II
Provider Business Mailing Address
First Line : 10605 BALBOA BLVD STE 100
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-6367
Country : US
Telephone Number : 213-305-3758
Fax Number :
Provider Business Practice Location Address
First Line : 10605 BALBOA BLVD STE 100
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-6367
Country : US
Telephone Number : 213-305-3758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 07/08/2007

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Directions to “ MS. BRANDY BAILEY MCW II” Practice Location

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