MEDICARE: BAILEY ASSOCIATES INC

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
1	311500000X	Alzheimer Center (Dementia Center)	374600038	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316439755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAILEY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	9308 EMERALD GROVE AVE
Second Line	:
City	:	LAKESIDE
State	:	CA
Zip	:	92040-3718
Country	:	US
Telephone Number	:	619-561-8626
Fax Number	:	619-561-6561

Provider Business Practice Location Address
First Line	:	9308 EMERALD GROVE AVE
Second Line	:
City	:	LAKESIDE
State	:	CA
Zip	:	92040-3718
Country	:	US
Telephone Number	:	619-561-8626
Fax Number	:	619-561-6561

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DANIEL LLOYD BAILEY
Credential	:
Telephone Number	:	619-561-8626

Provider Enumeration Date	:	06/01/2018
Last Update Date	:	06/16/2018

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Directions to “BAILEY ASSOCIATES INC ” Practice Location

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