Provider Demographics
NPI:1497533152
Name:BAILEY, BRIAN (MAOL)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MAOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1357 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3325
Mailing Address - Country:US
Mailing Address - Phone:562-253-3741
Mailing Address - Fax:
Practice Address - Street 1:1357 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3325
Practice Address - Country:US
Practice Address - Phone:562-253-3741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula