Provider Demographics
NPI:1124062294
Name:BAILEY, MARTIN HUGH (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:HUGH
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:351 HOSPITAL RD
Mailing Address - Street 2:SUITE 617
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3508
Mailing Address - Country:US
Mailing Address - Phone:949-650-6710
Mailing Address - Fax:
Practice Address - Street 1:351 HOSPITAL RD
Practice Address - Street 2:SUITE 617
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3508
Practice Address - Country:US
Practice Address - Phone:949-650-6710
Practice Address - Fax:949-650-6713
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA48435208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE71810Medicare UPIN