Provider Demographics
NPI:1841915089
Name:BAILEY, RALPH H (DC)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:H
Last Name:BAILEY
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2903 FAIRMAN ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-3633
Mailing Address - Country:US
Mailing Address - Phone:323-228-3391
Mailing Address - Fax:201-690-8448
Practice Address - Street 1:3756 SANTA ROSALIA DR STE 507
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-3656
Practice Address - Country:US
Practice Address - Phone:323-290-0832
Practice Address - Fax:201-690-8448
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA13734111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner