Organization
JAMES BAILEY MD INC
Active
Other names
Moonlighting Management LLC, JAMES BAILEY MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BAILEY MD (PRESIDENT)
(703) 795-7076
Entity
Organization
Contact information
Practice address
2936 DE LA VINA ST, SANTA BARBARA, CA 93105-3354
(805) 963-2729
Mailing address
2936 DE LA VINA ST, SANTA BARBARA, CA 93105-3354
(805) 963-2729
(805) 963-3818
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C182613
STATE LICENSE
CA
Enumeration date
04/19/2023
Last updated
07/19/2023
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