Individual
BAILEY HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 TRIDENT WAY, SAN DIEGO, CA 92155-5000
(619) 993-6423
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(325) 716-7259
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101283030
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2023
Last updated
05/15/2025
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