Individual
DR. TIMOTHY SILLECK BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 CITRACADO PKWY STE 108, ESCONDIDO, CA 92025-6428
(760) 743-1431
(760) 743-6455
Mailing address
625 W CITRACADO PKWY STE 108, STE 108, ESCONDIDO, CA 92025-6428
(760) 743-1431
(760) 743-6455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G60763
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G60763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G60763
—
CA
01
—
AS316X
DR. BAILEY'S PTAN
—
01
—
W3171
PTAN FOR MEDICARE SOUTH
—
01
—
ZZZ37242Z
PTAN FOR MEDICARE NORTH
—
Enumeration date
10/26/2006
Last updated
04/16/2021
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