Andrea Dawn Bailey
Individual provider Active NPI Rehabilitation Practitioner · South Pasadena, CA
NPI 1649420100 · NPPES record last updated Sep 22, 2008
Key facts
- NPI
- 1649420100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 625 Fair Oaks Ave
#300
South Pasadena, CA 91030-2630 - Phone
- (626) 395-7100
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
625 Fair Oaks Ave
#300
South Pasadena, CA 91030-2630
Mailing address
625 S. Fair Oakes Ave.
#300
South Pasadena, CA 91030
Phone (626) 395-7100
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All providers in South Pasadena, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.