Provider Demographics
NPI:1386662377
Name:BAILEY, JOHN STEWART (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:STEWART
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 5486
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92863-5486
Mailing Address - Country:US
Mailing Address - Phone:818-550-0900
Mailing Address - Fax:505-293-1524
Practice Address - Street 1:15825 LAGUNA CANYON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2127
Practice Address - Country:US
Practice Address - Phone:949-341-3499
Practice Address - Fax:949-373-7290
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2011-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG81491207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG57705Medicare UPIN