Provider Demographics
NPI:1720814353
Name:BAILON SALAS, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BAILON SALAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 C N PERRY RD # 2
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-9723
Mailing Address - Country:US
Mailing Address - Phone:760-604-9328
Mailing Address - Fax:
Practice Address - Street 1:1116 C N PERRY RD # 2
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231-9723
Practice Address - Country:US
Practice Address - Phone:760-604-9328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula