Griffin Patrick Bailey, | |
6826 S Centinela Ave, Culver City, CA 90230-6301 | |
(310) 915-6100 | |
Not Available |
Full Name | Griffin Patrick Bailey |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 6826 S Centinela Ave, Culver City, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649935644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 301184 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evolution Physical Therapy Inc | 0244336964 | 47 |
Provider Name | Evolution Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174601116 PECOS PAC ID: 0244336964 Enrollment ID: O20070426000134 |
Mailing Address | Practice Location Address |
---|---|
Griffin Patrick Bailey, 6826 S Centinela Ave, Culver City, CA 90230-6301 Ph: (310) 915-6100 | Griffin Patrick Bailey, 6826 S Centinela Ave, Culver City, CA 90230-6301 Ph: (310) 915-6100 |
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