Provider Demographics
NPI:1386827962
Name:BAILEY, WARRINNIA V
Entity Type:Individual
Prefix:MS
First Name:WARRINNIA
Middle Name:V
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 EAST IMFERIAL HIGHWAY
Mailing Address - Street 2:ROOM P-31
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242
Mailing Address - Country:US
Mailing Address - Phone:565-940-3694
Mailing Address - Fax:562-658-4725
Practice Address - Street 1:415 WEST OCEAN BLVD
Practice Address - Street 2:#100
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802
Practice Address - Country:US
Practice Address - Phone:562-491-5811
Practice Address - Fax:562-983-5747
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management