Evan Alfred Bailon
Evan Alfred Bailon is a Physician Assistant in Long Beach, California. Qualified in 2022, 4 years ago. Practices with California Wound Healing Medical Group Inc, a 19-clinician group. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
3530 Atlantic Ave Ste 108Long Beach, CA 90807-4569
Phone: (310) 613-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (CA) |
|---|
Record details
| NPI number | 1316646821 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 23, 2023 |
| Last updated in NPPES | June 27, 2023 |
| Certification date | June 27, 2023 |
| Mailing address | 227 W 234th Pl, Carson, CA 90745-5212 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | California Wound Healing Medical Group Inc. — 19 clinicians |
| Accepts Medicare assignment | Not indicated |
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