Individual
IVAN BAYLOSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
580 ANTON BLVD UNIT 330, COSTA MESA, CA 92626-1998
(310) 691-6129
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000862
CA
Other
Enumeration date
07/27/2017
Last updated
12/06/2021
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