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NPI Code Detail

MEDICARE: DR. MICHAEL HUGH BAILEY MD

MEDICARE: DR. MICHAEL HUGH BAILEY MD
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
1207Q00000XFamily Medicine PhysicianG38680CA

General Provider Information

NPI Number : 1770584484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL HUGH BAILEY MD
Provider Business Mailing Address
First Line : 3555 LOMA VISTA RD
Second Line : SUITE 110
City : VENTURA
State : CA
Zip : 93003-3161
Country : US
Telephone Number : 805-653-0303
Fax Number : 805-653-5761
Provider Business Practice Location Address
First Line : 10885 TELEGRAPH RD
Second Line :
City : VENTURA
State : CA
Zip : 93004-1272
Country : US
Telephone Number : 805-647-7704
Fax Number : 833-916-2148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 09/22/2021

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Directions to “ DR. MICHAEL HUGH BAILEY MD” Practice Location

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