Provider Demographics
NPI:1104359546
Name:PESTEREV, BAILEY MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:BAILEY
Middle Name:MARIA
Last Name:PESTEREV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:MARIA
Other - Last Name:BONURA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:UCLA OB GYN 10833 LE CONTE AVE
Mailing Address - Street 2:CHS 27-126
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0001
Mailing Address - Country:US
Mailing Address - Phone:310-825-9945
Mailing Address - Fax:
Practice Address - Street 1:UCLA OB GYN 10833 LE CONTE AVE
Practice Address - Street 2:CHS 27-126
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-825-9945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program