Randall Scott Bailey | Los Angeles, CA • PECOS Search

Randall Scott Bailey

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

5216 De Longpre Ave, Los Angeles, CA 90027-5712

PECOS Enrollment

Based on the most recent information from CMS, provider Randall Scott Bailey does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1619146008
Provider Type
Individual
Full Name
Bailey, Randall Scott
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/29/2008
Last Updated
2/29/2008

Contact Information

Practice Location

5216 De Longpre Ave, Los Angeles, CA 90027-5712

Unlisted Fax

Mailing Location

5216 De Longpre Ave, Los Angeles, CA 90027-5712

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A102412 California