MEDICARE: DR. CATHLEEN NOEL BAIREY MERZ M.D.

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	207RC0000X	Cardiovascular Disease Physician	G49670	CA

General Provider Information

NPI Number	:	1447238324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHLEEN NOEL BAIREY MERZ M.D.

Provider Business Mailing Address
First Line	:	444 S SAN VICENTE BOULEVARD
Second Line	:	SUITE 600
City	:	LOS ANGELES
State	:	CA
Zip	:	90048
Country	:	US
Telephone Number	:	310-423-9680
Fax Number	:	310-423-9681

Provider Business Practice Location Address
First Line	:	444 S SAN VICENTE BLVD
Second Line	:	SUITE 600
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4165
Country	:	US
Telephone Number	:	310-423-9680
Fax Number	:	310-423-9681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	08/12/2014

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