Individual
JARED BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 W 6TH STREET, SAN PEDRO, CA 90732
(424) 529-3020
Mailing address
21000 PLUMMER ST, CHATSWORTH, CA 91311-4903
(818) 882-6400
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/16/2023
Last updated
03/14/2025
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